Provider Demographics
NPI:1114955655
Name:RULE, AMBER RACHELLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:RACHELLE
Last Name:RULE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:RACHELLE
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1627 US HIGHWAY 1 STE 201
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3462
Mailing Address - Country:US
Mailing Address - Phone:772-388-2110
Mailing Address - Fax:772-388-2426
Practice Address - Street 1:1627 US HIGHWAY 1 STE 201
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3462
Practice Address - Country:US
Practice Address - Phone:772-388-2110
Practice Address - Fax:772-564-9214
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9180388363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ60565Medicare UPIN
FLU6572ZMedicare ID - Type Unspecified