Individual
AMY TUBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6823 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 750-2080
(479) 750-2082
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 224-0822
(864) 375-0196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10121
LA
363LF0000X
Family Nurse Practitioner
Primary
F06182133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22637
SC MEDICAL LICENSE
SC
Enumeration date
07/06/2018
Last updated
02/20/2024
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