Provider Demographics
NPI:1629702725
Name:DENNIS, AMBER ANNETTE (RN, MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:ANNETTE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:RN, MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 SAVAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:43155-9768
Mailing Address - Country:US
Mailing Address - Phone:740-974-9377
Mailing Address - Fax:614-344-4445
Practice Address - Street 1:5030 SAVAGE HILL RD
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:OH
Practice Address - Zip Code:43155-9768
Practice Address - Country:US
Practice Address - Phone:740-974-9377
Practice Address - Fax:614-344-4445
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.323243163W00000X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse