Provider Demographics
NPI:1063169043
Name:ARVIE, AMBER
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:ARVIE
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:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-0029
Mailing Address - Country:US
Mailing Address - Phone:337-363-7879
Mailing Address - Fax:337-363-7880
Practice Address - Street 1:241 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4605
Practice Address - Country:US
Practice Address - Phone:337-363-7879
Practice Address - Fax:337-363-7880
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant