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NPI Code Detail

MEDICARE: AMBER RAE MYERS

MEDICARE:   AMBER RAE MYERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1183665TX

General Provider Information

NPI Number : 1316755929
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER RAE MYERS
Provider Business Mailing Address
First Line : 5409 GREENVILLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75206-2908
Country : US
Telephone Number : 972-515-3396
Fax Number :
Provider Business Practice Location Address
First Line : 5409 GREENVILLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75206-2908
Country : US
Telephone Number : 469-972-5649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2024
Last Update Date : 11/25/2025

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Directions to “ AMBER RAE MYERS ” Practice Location

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