Altidor, Amber M.
Altidor, Amber M. is an individual health care provider with primary practice located at 2501 Chatham Rd Ste 4134, Springfield IL 62704-6270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Altidor, Amber M. can be contacted via phone (773) 716-3478.Contact Information
Primary practice address
2501 Chatham Rd Ste 4134
Springfield IL 62704-6270
Phone: (773) 716-3478
Fax: (618) 822-4030
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209024124 | Illinois |
Profile Details
NPI number | 1407528987 |
---|---|
LBN Legal business name | Altidor, Amber M. |
Credentials | DNP, APRN, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2021 |
Last updated | Dec 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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