Individual
AMY L EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 947-3341
(405) 951-4358
Mailing address
5401 N PORTLAND AVE STE 410, OKLAHOMA CITY, OK 73112-2131
(405) 604-4202
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
87638
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87638
OKLAHOMA LICENSE
OK
Enumeration date
01/14/2019
Last updated
09/26/2019
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