IndividualActive
Amy Petrie, PAC
NPI 1649386319 · Medical Physician Assistant · Niles, MI
Provider details
- NPI number
- 1649386319
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 085002713 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2002 S 11th St
Niles, MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Approximate (ZIP-level) locationGet directions
Mailing address
6416 Deans Hill Rd
Berrien Center, MI 49102-9750
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.