Individual
AMBER ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CNP
Contact information
Practice address
3165 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6309
(937) 912-0525
Mailing address
3165 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6309
(937) 912-0525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP024489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN430206
—
OH
Enumeration date
04/02/2019
Last updated
04/27/2020
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