| NPI | 1093130635 |
|---|---|
| Former Name | AMY L PRENTISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704263923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704263923) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2017-03-06 |