Individual
AMBER DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 3RD AVE SW STE D, MINOT, ND 58701-4346
(701) 223-2417
Mailing address
2319 ACADEMY RD, MINOT, ND 58703-1605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481443
—
ND
05
—
1481490
—
ND
Enumeration date
01/06/2021
Last updated
04/15/2021
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