| NPI | 1083017024 |
|---|---|
| Former Name | AMBER D ECCLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992704-NP) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0992704-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000395-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111747) | |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2021-05-04 |