Anderson, Amber Ann

Anderson, Amber Ann is an individual health care provider with primary practice located at 1600 Ruby St , Moundsville WV 26041-2432. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Anderson, Amber Ann can be contacted via phone (304) 312-3791.

Contact Information

Primary practice address
1600 Ruby St Moundsville WV 26041-2432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1902674138
LBN Legal business name Anderson, Amber Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1902674138 NPPES
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228

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