Provider Demographics
NPI:1598341398
Name:NEAL, AMBER GI
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:GI
Last Name:NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 HART ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1855
Mailing Address - Country:US
Mailing Address - Phone:330-957-3229
Mailing Address - Fax:
Practice Address - Street 1:1370 HART ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1855
Practice Address - Country:US
Practice Address - Phone:330-957-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide