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AMY VIOLA PETRIE PAC
NPI 1649386319
Physician Assistant - Medical in Niles, MI

Active since August 22, 2006
2002 S 11TH ST, NILES, MI 49120(269) 687-0200(269) 684-0199 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Viola Petrie Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY VIOLA PETRIE PAC (NPI 1649386319) is an individual medical provider in Niles, Michigan, licensed in Michigan (5601006305) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649386319
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY VIOLA PETRIECredential: PAC
Location Address2002 S 11TH STNiles, MI 49120-4074
Mailing Address6416 Deans Hill RdBerrien Center, MI 49102-9750 · (269) 471-7741 · Fax (269) 471-1581
Phone(269) 687-0200
Fax(269) 684-0199
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateMarch 14, 2013
✔ NPI 1649386319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MI · 5601006305✔ Licensed in IL · 085002713
2002 S 11TH ST, Niles, MI 49120
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Other Identifiers 2

Medicaid1649386319MI
Medicare PINMI2051183MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CRAIG A. RIGLER M.A. CCC-A AUDIOLOGY
Audiologist
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
LAUREN-SHYLENE LUNA TOSCANO NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
MRS. ASHLEY MARIE FUGATE FNP-BC
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
SANDRA QUINTERO LLMSW
Social Worker
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
ELIZABETH ANN MCGLOTHLIN M.D.
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JAMES E STRYCKER MD
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JENNIFER ANN LAYMAN YOUNG NP
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0808
DR. LOIS G LELLO MD
Pediatrics
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Petrie's NPI number?

The NPI number for Amy Petrie is 1649386319. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Amy Petrie located?

Amy Petrie practices at 2002 S 11th St, Niles, MI 49120. The listed phone number is (269) 687-0200.

What is Amy Petrie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Amy Petrie was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.