Amy Blackmer, RN
Individual provider Active NPI Registered Nurse · Lapeer, MI
NPI 1154750909 · NPPES record last updated Nov 2, 2013
Key facts
- NPI
- 1154750909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704273694 (MI)
- Practice address
- 1570 Suncrest Dr
Lapeer, MI 48446-1154 - Phone
- (810) 245-8273
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704273694 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704273694 | MI | Yes |
Addresses
Primary practice location
1570 Suncrest Dr
Lapeer, MI 48446-1154
Mailing address
1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone (810) 245-8273
Other names
- Amy Rouse
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.