Anderson, Amber D

Anderson, Amber D is an individual health care provider with primary practice located at 372 Avignon Ave , Springdale AR 72764-7033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Anderson, Amber D can be contacted via phone (479) 445-3739.

Contact Information

Primary practice address
372 Avignon Ave Springdale AR 72764-7033
Phone: (479) 445-3739
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A004487 Arkansas

Profile Details

NPI number 1356726020
LBN Legal business name Anderson, Amber D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356726020 NPPES
Arkansas MEDICAID 211530758
Arkansas MEDICAID 1356726020
Arkansas MEDICAID 200667450A

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