Healthcare Provider Details

I. General information

NPI: 1679340137
Provider Name (Legal Business Name): AMBER LYNN KLINE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER L DIETRICH

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 LUCY DR
HARRISONBURG VA
22801-8036
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-438-1314
  • Fax: 540-438-0797
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024191127
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: