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NPI Code Detail

MEDICARE: AMBER VEACH LPN

MEDICARE:   AMBER  VEACH  LPN
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
1164W00000XLicensed Practical NurseL0060333OK

General Provider Information

NPI Number : 1891035697
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER VEACH LPN
Provider Business Mailing Address
First Line : 3000 MEDICAL PKWY
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-1082
Country : US
Telephone Number : 918-679-8913
Fax Number : 918-679-8898
Provider Business Practice Location Address
First Line : 4845 S. SHERIDAN RD
Second Line : SUITE 510
City : TULSA
State : OK
Zip : 74145-5719
Country : US
Telephone Number : 918-384-0002
Fax Number : 918-384-0004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2013
Last Update Date : 05/22/2025

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Directions to “ AMBER VEACH LPN” Practice Location

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