Healthcare Provider Details

I. General information

NPI: 1073389391
Provider Name (Legal Business Name): AMBER POHLHAUS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 NEW HANOVER MEDICAL PARK DR
WILMINGTON NC
28403-5345
US

IV. Provider business mailing address

1721 NEW HANOVER MEDICAL PARK DR
WILMINGTON NC
28403-5345
US

V. Phone/Fax

Practice location:
  • Phone: 910-726-9976
  • Fax: 910-807-3488
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5019207
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: