Healthcare Provider Details

I. General information

NPI: 1780470021
Provider Name (Legal Business Name): CHRISTOPHER AMBURN ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 N HANCOCK ST
OTTUMWA IA
52501-4231
US

IV. Provider business mailing address

1 SAINT JOSEPH DR
CENTERVILLE IA
52544-9017
US

V. Phone/Fax

Practice location:
  • Phone: 641-683-0800
  • Fax: 641-683-0801
Mailing address:
  • Phone: 641-437-3000
  • Fax: 641-437-3403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA184010
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: