Kornely, Amber L
Kornely, Amber L is an individual health care provider with primary practice located at 1976 Lime Kiln Rd , Green Bay WI 54311-4417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kornely, Amber L can be contacted via phone (920) 445-7377.Contact Information
Primary practice address
1976 Lime Kiln Rd
Green Bay WI 54311-4417
Phone: (920) 445-7377
Fax: (920) 592-9479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7880-33 | Wisconsin |
Profile Details
| NPI number | 1942725825 |
|---|---|
| LBN Legal business name | Kornely, Amber L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Apr 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942725825 | NPPES |
| Other | 2017003008 | AMERICAN NURSES CREDENTIALING CENTER |
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