Healthcare Provider Details

I. General information

NPI: 1427739598
Provider Name (Legal Business Name): AMBER BARONE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER DOUGLAS

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 AMBER LN
DILLON MT
59725-9400
US

IV. Provider business mailing address

35 AMBER LN
DILLON MT
59725-9400
US

V. Phone/Fax

Practice location:
  • Phone: 406-570-4207
  • Fax:
Mailing address:
  • Phone: 406-570-4207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number132319
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number132319
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number132319
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number132319
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: