Individual
AMBER M MISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 S FLOYD ST, 804, LOUISVILLE, KY 40202-1835
(502) 583-0127
(502) 583-1239
Mailing address
601 S FLOYD ST, 804, LOUISVILLE, KY 40202-1835
(502) 583-0127
(502) 583-1239
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1100036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100036
STATE LICENSE
KY
Enumeration date
05/03/2007
Last updated
07/08/2007
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