Healthcare Provider Details

I. General information

NPI: 1649075516
Provider Name (Legal Business Name): AMBER E. NYCE BARR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 WALTER REED RD
FAYETTEVILLE NC
28304-4415
US

IV. Provider business mailing address

1341 WALTER REED RD
FAYETTEVILLE NC
28304-4415
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-6478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number278817
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1039
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM10940
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: