Individual provider · Type 1 NPI

Amber Vandiver

Family Nurse Practitioner · Osage Beach, MO

NPI number 1528697174 Active

Practice location

3870 Columbia Ave
Osage Beach, MO 65065-8689

Mailing address

5488 Stone Ledge Cir
Osage Beach, MO 65065-2554

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2020000395 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1528697174

Amber Vandiver's National Provider Identifier is 1528697174, issued on Apr 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Osage Beach, MO. The record was last updated on Apr 6, 2020.