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NPI Code Detail

MEDICARE: AMBER M CHEWNING APRN

MEDICARE: AMBER M CHEWNING APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11008070FL
2363L00000XNurse PractitionerAPRN11008070FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316520307
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER M CHEWNING APRN
Provider Business Mailing Address
First Line : 6006 49TH ST N STE 310
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33709-2149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6000 49TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33709-2145
Country : US
Telephone Number : 727-521-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2021
Last Update Date : 05/06/2021

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Directions to “ AMBER M CHEWNING APRN” Practice Location

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