Provider Demographics
NPI:1447673264
Name:FREEMAN, AMBER LEE (RN, FNP)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LEE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:LEE
Other - Last Name:CORNELIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 919741
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:321-841-3900
Mailing Address - Fax:321-843-6075
Practice Address - Street 1:63 RILEY RD
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5419
Practice Address - Country:US
Practice Address - Phone:407-930-6900
Practice Address - Fax:321-203-4669
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020867363LF0000X
NYF338464-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily