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NPI Code Detail

MEDICARE: AMBER MARIE ANKROM APRN-CNP

MEDICARE: AMBER MARIE ANKROM APRN-CNP
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 PractitionerAPRN.CNP.0039117OH
2363L00000XNurse Practitioner80845WV

General Provider Information

NPI Number : 1720645690
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MARIE ANKROM APRN-CNP
Provider Business Mailing Address
First Line : 2285 POND CREEK RD
Second Line :
City : BELLEVILLE
State : WV
Zip : 26133-8195
Country : US
Telephone Number : 304-834-7738
Fax Number :
Provider Business Practice Location Address
First Line : 1600 27TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-2815
Country : US
Telephone Number : 304-485-6476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2019
Last Update Date : 12/11/2025

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