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General NPI Number Information
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NPI Number | 1720645690
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Entity Type | Individual
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Provider Name | AMBER MARIE ANKROM APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1600 27TH ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-2815
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Country | US
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Telephone | 304-485-6476
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 POND CREEK RD
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City | BELLEVILLE
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State | WV
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Zip | 26133-8195
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Country | US
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Telephone | 304-834-7738
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0039117
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 80845
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License Number State | WV
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