Walston, Amber Lee

Walston, Amber Lee is an individual health care provider with primary practice located at 200 Patewood Dr Ste A350 , Greenville SC 29615-3547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Walston, Amber Lee can be contacted via phone (864) 454-5110.

Contact Information

Primary practice address
200 Patewood Dr Ste A350 Greenville SC 29615-3547
Phone: (864) 454-5110
Fax: (864) 241-9206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18429 South Carolina

Profile Details

NPI number 1063845808
LBN Legal business name Walston, Amber Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated May 14th, 2021 - about 5 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 1063845808 NPPES
South Carolina MEDICAID NP2558

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