Provider Demographics
NPI:1194506295
Name:SLOVAK, AMBER MARIE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:SLOVAK
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 RUSTY GATE WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6091
Mailing Address - Country:US
Mailing Address - Phone:919-724-5616
Mailing Address - Fax:
Practice Address - Street 1:910 RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2441
Practice Address - Country:US
Practice Address - Phone:830-331-2391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily