Provider Demographics
NPI:1447786942
Name:NGUYEN, AMBER M (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:M
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:M
Other - Last Name:HOLBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-688-7040
Mailing Address - Fax:614-688-7356
Practice Address - Street 1:1145 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3117
Practice Address - Country:US
Practice Address - Phone:614-688-7040
Practice Address - Fax:614-688-7356
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP021083363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health