Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11008239 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11008239 | FL |
NPI | 1053919985 |
---|---|
Provider Name | Dr. Amber Lynn Bart |
First Address | Gainesville, FL 32610-0109 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2020 |
Last Update Date | 19/10/2020 |