Fair, Amber

Fair, Amber is an individual health care provider with primary practice located at 1664 W Smith Valley Rd , Greenwood IN 46142-1550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fair, Amber can be contacted via phone (317) 887-7640.

Contact Information

Primary practice address
1664 W Smith Valley Rd Greenwood IN 46142-1550
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28159374A Indiana

Profile Details

NPI number 1063802395
LBN Legal business name Fair, Amber
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2015
Last updated Nov 27th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063802395 NPPES
Indiana MEDICAID 201313060

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