Provider Demographics
NPI:1962928184
Name:BALZER, AMBER VALENTYN (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:VALENTYN
Last Name:BALZER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:LYNNE
Other - Last Name:VALENTYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5205 TIMBERCREEK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23237-3169
Mailing Address - Country:US
Mailing Address - Phone:603-496-4209
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 980102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0102
Practice Address - Country:US
Practice Address - Phone:804-828-3144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175215363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care