Individual
AMBER FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 HOLTVILLE RD, NA, WETUMPKA, AL 36092-8211
(334) 567-5131
Mailing address
2475 CHAPEL LAKES LN APT C, WETUMPKA, AL 36092-5814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1176883
AL
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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