Provider Demographics
NPI:1689823593
Name:WHITTON-SMITH, AMBER B (NP, RN)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:B
Last Name:WHITTON-SMITH
Suffix:
Gender:F
Credentials:NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 S DOWNING ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5855
Mailing Address - Country:US
Mailing Address - Phone:303-715-7030
Mailing Address - Fax:303-715-7035
Practice Address - Street 1:2555 S DOWNING ST STE 240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5855
Practice Address - Country:US
Practice Address - Phone:303-715-7030
Practice Address - Fax:303-715-7035
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993261-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO175193OtherRN LICENSE