MEDICARE: AMBER CONNORS CRNP

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
1	163WG0000X	General Practice Registered Nurse	RN633642	PA
2	363LF0000X	Family Nurse Practitioner	SP022713	PA

General Provider Information

NPI Number	:	1558988667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER CONNORS CRNP

Provider Business Mailing Address
First Line	:	250B BUTLER CMNS
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2485
Country	:	US
Telephone Number	:	724-284-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	20630 ROUTE 19 UNIT 101
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6021
Country	:	US
Telephone Number	:	724-779-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	12/14/2023

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