Individual
AMBER LYNN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4577 MILL CREEK ST, HOUMA, LA 70360-8149
(985) 226-1118
Mailing address
4577 MILL CREEK ST, HOUMA, LA 70360-8149
(985) 226-1118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121668
LA
163W00000X
Registered Nurse
135107
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
05453
LA
363LA2100X
Acute Care Nurse Practitioner
12664
TN
Other
Enumeration date
05/02/2007
Last updated
05/20/2010
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