Individual
AMBER ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 RUBY ST, MOUNDSVILLE, WV 26041-2432
(304) 312-3791
Mailing address
1600 RUBY ST, MOUNDSVILLE, WV 26041-2432
(304) 312-3791
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
12/18/2023
Last updated
12/18/2023
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