Missi, Amber M

Missi, Amber M is an individual health care provider with primary practice located at 601 S Floyd St 804, Louisville KY 40202-1835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Missi, Amber M can be contacted via phone (502) 583-0127.

Contact Information

Primary practice address
601 S Floyd St 804 Louisville KY 40202-1835
Fax: (502) 583-1239
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1100036 Kentucky

Profile Details

NPI number 1285856625
LBN Legal business name Missi, Amber M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1285856625 NPPES
Kentucky Other 1100036 STATE LICENSE

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