| NPI | 1164725941 |
|---|---|
| Professional Name | ALAN TONY AMBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000055) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.387237) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2022-01-27 |