Provider Demographics
NPI:1447729124
Name:DUNLAP, AMBER (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 W ZERR RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-2795
Mailing Address - Country:US
Mailing Address - Phone:620-272-3600
Mailing Address - Fax:620-272-3606
Practice Address - Street 1:919 W ZERR RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-2795
Practice Address - Country:US
Practice Address - Phone:620-272-3600
Practice Address - Fax:620-272-3606
Is Sole Proprietor?:No
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5378386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily