AMBER BROOKE BLEASE NP-C NPI 1457758419

NPI Information

NPI: 1457758419
Provider Name: AMBER BROOKE BLEASE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4 LIVE OAK CT
MOULTRIE, GA
ZIP 31768
Phone: (229) 502-9788
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Amber Brooke Blease, NP-C is a family nurse practitioner in Moultrie, GA. Amber Brooke Blease, NP-C NPI is 1457758419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 LIVE OAK CT
MOULTRIE, GA
ZIP 31768
Phone: (229) 502-9788
Fax: (229) 890-2166

The enumeration date for this NPI number is 11/19/2014 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN213604	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN213604	OTHER	GEORGIA	GA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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