AMBER VANDIVER

OSAGE BEACH, MO
NPI1528697174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2020000395)
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
AMBER VANDIVER
3870 COLUMBIA AVE
OSAGE BEACH, MO 65065-8689
Phone number: 573-302-7490
Mailing Address
AMBER VANDIVER
5488 STONE LEDGE CIR
OSAGE BEACH, MO 65065-2554
Phone number: 913-620-6698
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