Individual
AMBER B ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2308 WESVILL CT, RALEIGH, NC 27607-2949
(919) 781-4311
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
005658
GA
367H00000X
Anesthesiologist Assistant
Primary
1000-00571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219822143A
—
GA
Enumeration date
05/11/2009
Last updated
08/06/2015
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