Provider Demographics
NPI:1558689836
Name:ERBER, AMY KREUTZER (ARNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KREUTZER
Last Name:ERBER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:KREUTZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:151 SW SHEVLIN HIXON DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3232
Mailing Address - Country:US
Mailing Address - Phone:541-717-3033
Mailing Address - Fax:541-712-7004
Practice Address - Street 1:151 SW SHEVLIN HIXON DR STE 2
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3209
Practice Address - Country:US
Practice Address - Phone:541-717-3033
Practice Address - Fax:541-712-7004
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201507217NP-PP363LF0000X, 363LP0808X
OR202006019NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily