Individual
AMBER NICCOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4301 FOX CROFT CIR, ROANOKE, VA 24018-8945
(540) 958-0587
Mailing address
4301 FOX CROFT CIR, ROANOKE, VA 24018-8945
(540) 958-0587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001298831
RN
VA
Enumeration date
09/24/2024
Last updated
09/24/2024
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