Individual provider · Type 1 NPI
Amber Marie Theall, FNP-C
Family Nurse Practitioner · Beaumont, TX
NPI number
1801134259
Active
Practice location
740 Hospital Dr, Suite 250
Beaumont, TX 77701-4664
Fax (409) 212-1003
Mailing address
9180 Washington Blvd
Beaumont, TX 77707-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 737870 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801134259
Amber Marie Theall, FNP-C's National Provider Identifier is 1801134259, issued on Jan 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beaumont, TX. The record was last updated on Jun 11, 2014.