Individual provider · Type 1 NPI
Amber Dise
Psychiatric/Mental Health Nurse Practitioner · Woodbridge, VA
NPI number
1427345867
Active
Practice location
12572 Plymouth Ct
Woodbridge, VA 22192-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001179853 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024184766 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427345867
Amber Dise's National Provider Identifier is 1427345867, issued on Jul 6, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woodbridge, VA. The record was last updated on Oct 16, 2024.