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NPI Code Detail

MEDICARE: AMBER DENISE TOLLIVER APRN

MEDICARE: AMBER DENISE TOLLIVER 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
1363L00000XNurse Practitioner908207MS
2363L00000XNurse Practitioner37904TN
3363L00000XNurse Practitioner3015664KY
4363L00000XNurse Practitioner0024180733VA
5363L00000XNurse Practitioner1195719TX
6163W00000XRegistered Nurse0001260036VA

General Provider Information

NPI Number : 1598383861
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER DENISE TOLLIVER APRN
Provider Business Mailing Address
First Line : 3504 CUMBERLAND AVE
Second Line :
City : MIDDLESBORO
State : KY
Zip : 40965-2612
Country : US
Telephone Number : 606-248-0737
Fax Number :
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2020
Last Update Date : 03/04/2026

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