Provider Demographics
NPI:1801238746
Name:DARDANES, AMBER C (ARNP)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:C
Last Name:DARDANES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:C
Other - Last Name:BURGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:710 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-1549
Mailing Address - Country:US
Mailing Address - Phone:641-332-2201
Mailing Address - Fax:641-332-3856
Practice Address - Street 1:710 N 10TH ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1549
Practice Address - Country:US
Practice Address - Phone:641-332-2201
Practice Address - Fax:641-332-3856
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA112086363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily