Healthcare Provider Details

I. General information

NPI: 1831746320
Provider Name (Legal Business Name): AMBER N ROFFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER ROFFE APRN

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 WASHINGTON ST
PORTSMOUTH OH
45662-3944
US

IV. Provider business mailing address

901 WASHINGTON ST
PORTSMOUTH OH
45662-3944
US

V. Phone/Fax

Practice location:
  • Phone: 740-354-7702
  • Fax: 740-353-1662
Mailing address:
  • Phone: 740-355-8616
  • Fax: 740-353-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.025454
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: