Healthcare Provider Details

I. General information

NPI: 1386341972
Provider Name (Legal Business Name): AMBER STEELE MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 23RD ST STE 320
ASHLAND KY
41101-2877
US

IV. Provider business mailing address

PO BOX 2379
ASHLAND KY
41105-2379
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-4375
  • Fax: 606-833-2162
Mailing address:
  • Phone: 606-408-9571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3019041
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: