Johnson, Amber Louise
Johnson, Amber Louise is an individual health care provider with primary practice located at 1860 Reisterstown Rd , Pikesville MD 21208-1335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Amber Louise can be contacted via phone (410) 484-4044.Contact Information
Primary practice address
1860 Reisterstown Rd
Pikesville MD 21208-1335
Phone: (410) 484-4044
Fax: (410) 740-4776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R169566 | Maryland |
Profile Details
| NPI number | 1700196821 |
|---|---|
| LBN Legal business name | Johnson, Amber Louise |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2010 |
| Last updated | Mar 8th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700196821 | NPPES |
| Maryland | MEDICAID | 1722013 |
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