Individual
KATHERYNE TIFUH AMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
999 EXECUTIVE PARKWAY DR STE 210, SAINT LOUIS, MO 63141-6336
(314) 514-6005
(866) 497-1239
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-5681
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2009038527
MO
Other
Enumeration date
01/11/2010
Last updated
10/29/2018
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