Provider Demographics
NPI:1477167260
Name:VANRIJK, AMBER M (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:M
Last Name:VANRIJK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:M
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5111 SW 41ST PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9641
Mailing Address - Country:US
Mailing Address - Phone:352-817-8773
Mailing Address - Fax:
Practice Address - Street 1:5111 SW 41ST PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-9641
Practice Address - Country:US
Practice Address - Phone:352-817-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9345032163W00000X
FLAPRN11009528363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse