MS. AMY J BUKALA FNP PMHNP-BC NPI 1710492491

NPI Information

  • NPI: 1710492491
  • Provider Name: MS. AMY J BUKALA, FNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 325 84TH ST SW STE 103
    BYRON CENTER, MI
    ZIP 49315
  • Phone: (616) 805-3660

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NPI Details

MS. Amy J Bukala, FNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Byron Center, MI with 8 years of experience. MS. Amy J Bukala, FNP, PMHNP-BC NPI is 1710492491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 84TH ST SW STE 103
BYRON CENTER, MI
ZIP 49315-350
Phone: (616) 805-3660

The NPI 1710492491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health4704270255MICHIGANYes
2363LF0000XNurse PractitionerFamily4704270255MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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