Provider Demographics
NPI:1063188613
Name:REED, AMBER DAWN (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:DAWN
Last Name:REED
Suffix:
Gender:
Credentials:MSN, APRN, FNP-BC
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:DAWN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:5101 EAST HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-2537
Mailing Address - Country:US
Mailing Address - Phone:816-676-4058
Mailing Address - Fax:833-629-0186
Practice Address - Street 1:5101 EAST HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507
Practice Address - Country:US
Practice Address - Phone:913-424-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80507-052363LF0000X
MO2021033427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily