Individual
AMBER NICOLE BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
118 SOUTH 7TH STREET, GREENFIELD, OH 45123
(937) 403-5025
Mailing address
118 SOUTH 7TH STREET, GREENFIELD, OH 45123
(937) 403-5025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147014 M-IV
OH
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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