Fern, Amber Grace

Fern, Amber Grace is an sole proprietor health care provider with primary practice located at 3515 Broadway Ave , Great Bend KS 67530-3633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fern, Amber Grace can be contacted via phone (620) 792-2511.

Contact Information

Primary practice address
3515 Broadway Ave Great Bend KS 67530-3633
Phone: (620) 792-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-79827-032 Kansas

Profile Details

NPI number 1457942856
LBN Legal business name Fern, Amber Grace
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2021
Last updated Jun 22nd, 2021 - about 3 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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