Provider Demographics
NPI:1235963372
Name:SLOAN, AMBER TENNILLE
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:TENNILLE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 COUNTY ROAD 1 APT 5
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8859
Mailing Address - Country:US
Mailing Address - Phone:740-744-2237
Mailing Address - Fax:
Practice Address - Street 1:307 4TH ST E APT 5B
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8456
Practice Address - Country:US
Practice Address - Phone:740-744-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide