Provider Demographics
NPI:1861369589
Name:NATHO, AMBER R
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:NATHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4898 MAYCREST DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-1021
Mailing Address - Country:US
Mailing Address - Phone:248-210-9397
Mailing Address - Fax:
Practice Address - Street 1:4898 MAYCREST DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-1021
Practice Address - Country:US
Practice Address - Phone:248-210-9397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator