Provider Demographics
NPI:1285022632
Name:BRANDON, AMBER NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NICOLE
Last Name:BRANDON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICOLE
Other - Last Name:STRICKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:389 LAKE HAMILTON DR APT A17
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6865
Mailing Address - Country:US
Mailing Address - Phone:501-944-7662
Mailing Address - Fax:
Practice Address - Street 1:4216 FOX RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8308
Practice Address - Country:US
Practice Address - Phone:501-944-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily