Individual
AMBER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1965 S FREMONT AVE STE 310, SPRINGFIELD, MO 65804-2295
(417) 820-3128
Mailing address
1965 S FREMONT AVE STE 310, SPRINGFIELD, MO 65804-2295
(417) 820-3128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015012081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144617697
—
MO
05
—
201113390A
—
KS
01
—
P01493293
RAIL ROAD MEDICARE
MO
Enumeration date
04/22/2015
Last updated
11/19/2021
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