IndividualActive
Amy Fogel, AGPCNP-BC
NPI 1194457598 · Primary Care Nurse Practitioner · Troy, MI
Provider details
- NPI number
- 1194457598
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704318805 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 E Long Lake Rd
Troy, MI 48085-5524
Phone: (482) 828-7500
Approximate (ZIP-level) locationGet directions
Mailing address
115 E Long Lake Rd
Troy, MI 48085-5524
Registry dates
- Enumerated
- 2022-06-26
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.