Dise, Amber Nicole-Antoinette

Dise, Amber Nicole-Antoinette is an individual health care provider with primary practice located at 12572 Plymouth Ct , Woodbridge VA 22192-2321. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dise, Amber Nicole-Antoinette can be contacted via phone (703) 492-4740.

Contact Information

Primary practice address
12572 Plymouth Ct Woodbridge VA 22192-2321
Phone: (703) 492-4740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001179853 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024184766 Virginia

Profile Details

NPI number 1427345867
LBN Legal business name Dise, Amber Nicole-Antoinette
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Aug 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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