Provider Demographics
NPI:1134855257
Name:MCNAMARA, AMBERLYN DAGLIAN (APRN)
Entity type:Individual
Prefix:
First Name:AMBERLYN
Middle Name:DAGLIAN
Last Name:MCNAMARA
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Gender:
Credentials:APRN
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Mailing Address - Street 1:350G RACETRACK RD NW
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-1699
Mailing Address - Country:US
Mailing Address - Phone:850-374-3125
Mailing Address - Fax:850-226-5544
Practice Address - Street 1:350G RACETRACK RD NW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-1699
Practice Address - Country:US
Practice Address - Phone:850-374-3125
Practice Address - Fax:850-226-5544
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2025-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3723363LA2200X
FLAPRN11034616363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health