MEDICARE: AMBER SCRIVNER WHNP

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	163W00000X	Registered Nurse	RN040201	AZ
2	363LW0102X	Women's Health Nurse Practitioner	AP7000	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821098856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER SCRIVNER WHNP

Provider Business Mailing Address
First Line	:	2545 W FRYE RD STE 9
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6273
Country	:	US
Telephone Number	:	480-505-4258
Fax Number	:	480-505-3689

Provider Business Practice Location Address
First Line	:	16611 S 40TH ST STE 180
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048
Country	:	US
Telephone Number	:	480-785-2100
Fax Number	:	480-505-3689

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	08/26/2025

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