MEDICARE: AMBER STROUPE HOWARD

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	363LF0000X	Family Nurse Practitioner	5018066	NC

General Provider Information

NPI Number	:	1801585732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER STROUPE HOWARD

Provider Business Mailing Address
First Line	:	4901 E NC HIGHWAY 150
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9719
Country	:	US
Telephone Number	:	336-656-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 E NC HIGHWAY 150
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9719
Country	:	US
Telephone Number	:	336-656-9905
Fax Number	:

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

Provider Enumeration Date	:	05/05/2023
Last Update Date	:	06/03/2023

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