Individual
AMBER LYNN MUTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(304) 285-2720
(866) 225-4179
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN89352NP
WV
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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