Individual
AMBER WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3310 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 343-1214
(352) 343-1582
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9243640
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9243640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009944800
—
FL
01
—
ARNP9243640
MEDICAL LICENSE
FL
Enumeration date
10/24/2013
Last updated
06/28/2024
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