Healthcare Provider Details

I. General information

NPI: 1245611128
Provider Name (Legal Business Name): AMBER DUREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER I BEDFORD ARNP

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17511 N DALE MABRY HWY
LUTZ FL
33548-4521
US

IV. Provider business mailing address

5400 PINEHURST DR
SPRING HILL FL
34606-3833
US

V. Phone/Fax

Practice location:
  • Phone: 813-962-6700
  • Fax: 813-962-7799
Mailing address:
  • Phone: 352-277-5305
  • Fax: 352-616-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9363085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: