Provider Demographics
NPI:1649078528
Name:WALTER, AMBER D
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:D
Last Name:WALTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4613
Mailing Address - Country:US
Mailing Address - Phone:402-230-0495
Mailing Address - Fax:
Practice Address - Street 1:1911 PARK ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-1737
Practice Address - Country:US
Practice Address - Phone:402-230-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services