Provider Demographics
NPI:1306387139
Name:DAY, AMBER (VA60469869)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:VA60469869
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 S LYLE AVE
Mailing Address - Street 2:
Mailing Address - City:E WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-9291
Mailing Address - Country:US
Mailing Address - Phone:951-235-2639
Mailing Address - Fax:
Practice Address - Street 1:456 S LYLE AVE
Practice Address - Street 2:
Practice Address - City:E WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-9291
Practice Address - Country:US
Practice Address - Phone:951-235-2639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA60469869247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other