Provider Demographics
NPI:1003122532
Name:HOBERG, AMBER RENEE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:RENEE
Last Name:HOBERG
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:RENEE
Other - Last Name:KOEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17703 LAMBERHURST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-5120
Mailing Address - Country:US
Mailing Address - Phone:210-478-0562
Mailing Address - Fax:
Practice Address - Street 1:7622 LOUIS PASTEUR DR
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4037
Practice Address - Country:US
Practice Address - Phone:210-614-7840
Practice Address - Fax:210-562-2252
Is Sole Proprietor?:No
Enumeration Date:2010-08-21
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10024421363LP0808X
TX708221363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB157850OtherWELLMED NETWORKS INC