Doctor Name: | AMBER M SMALLEY |
NPI Number: | 1346672383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 15071-NP |
Business Practice Address: | 6559 Wilson Mills Rd 106 Mayfield Village, OH - 441436402 |
Business Phone Number: | 4404491540 |
Business Fax Number: | 4404602833 |
Mailing Address: | 6559 Wilson Mills Rd, 106 MAYFIELD VILLAGE |
State: | OH |
Postal Code: | 441436402 |
Phone Number: | 4404491540 |
Fax Number: | 4404602833 |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 15071-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |