MEDICARE: MRS. AMBER ROSE CRAMER CNP

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
1	363L00000X	Nurse Practitioner	022906	OH

General Provider Information

NPI Number	:	1376037051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER ROSE CRAMER CNP

Provider Business Mailing Address
First Line	:	21 HUMMINGBIRD WAY
Second Line	:
City	:	AMELIA
State	:	OH
Zip	:	45102-2193
Country	:	US
Telephone Number	:	513-200-9439
Fax Number	:

Provider Business Practice Location Address
First Line	:	7625 CAMARGO RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-3107
Country	:	US
Telephone Number	:	513-528-8150
Fax Number	:	513-528-8151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2018
Last Update Date	:	06/18/2018

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