Provider Demographics
NPI:1619678687
Name:ARMSTRONG, AMBER DAWN (RN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:DAWN
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMBER EVANS
Mailing Address - Street 1:732 LILA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1609
Mailing Address - Country:US
Mailing Address - Phone:513-831-3000
Mailing Address - Fax:513-831-6664
Practice Address - Street 1:732 LILA AVE STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1609
Practice Address - Country:US
Practice Address - Phone:513-831-3000
Practice Address - Fax:513-831-6664
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.511745163WA0400X, 163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health