Individual
AMBER WELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
717 E REZANOF DR, KODIAK, AK 99615-6416
(907) 244-2274
Mailing address
PO BOX 3290, PORTLAND, OR 97208-3290
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
182093
AK
Other
Enumeration date
08/05/2021
Last updated
01/12/2022
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