Individual
AMBER MARIE PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
206 NW MOCK AVE, BLUE SPRINGS, MO 64014-2507
(816) 229-3265
Mailing address
206 NW MOCK AVE, BLUE SPRINGS, MO 64014-2507
(816) 229-3265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014005154
MO
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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