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NPI Code Detail

MEDICARE: AMBERLY RENEE NEELEY FNP-C

MEDICARE:   AMBERLY RENEE NEELEY  FNP-C
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 Practitioner28146649AIN
2363LF0000XFamily Nurse Practitioner71008459AIN

General Provider Information

NPI Number : 1548742877
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBERLY RENEE NEELEY FNP-C
Provider Business Mailing Address
First Line : 528 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1402
Country : US
Telephone Number : 812-882-4434
Fax Number :
Provider Business Practice Location Address
First Line : 528 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1402
Country : US
Telephone Number : 812-882-4434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 06/02/2026

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Directions to “ AMBERLY RENEE NEELEY FNP-C” Practice Location

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