MEDICARE: AMBER WALN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	343900000X	Non-emergency Medical Transport (VAN)
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1881356095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER WALN

Provider Business Mailing Address
First Line	:	7810 FARMERS RD
Second Line	:
City	:	NEW VIENNA
State	:	OH
Zip	:	45159-9227
Country	:	US
Telephone Number	:	937-571-1783
Fax Number	:

Provider Business Practice Location Address
First Line	:	7810 FARMERS RD
Second Line	:
City	:	NEW VIENNA
State	:	OH
Zip	:	45159-9227
Country	:	US
Telephone Number	:	937-571-1783
Fax Number	:

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

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	10/06/2021

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Directions to “ AMBER WALN ” Practice Location

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