Provider Demographics
NPI:1568213056
Name:DEMIT, AMBER L (CHA)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:DEMIT
Suffix:
Gender:F
Credentials:CHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94429
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4.8 MILE NORTHWAY RD
Practice Address - Street 2:
Practice Address - City:NORTHWAY
Practice Address - State:AK
Practice Address - Zip Code:99764
Practice Address - Country:US
Practice Address - Phone:907-750-4889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker