Provider Demographics
NPI:1285147587
Name:LOVELL, AMBER CHEVRIE (RN, FA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:CHEVRIE
Last Name:LOVELL
Suffix:
Gender:F
Credentials:RN, FA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 N CENTRAL EXPY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5956
Mailing Address - Country:US
Mailing Address - Phone:214-827-2873
Mailing Address - Fax:214-818-4763
Practice Address - Street 1:9101 N CENTRAL EXPY STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5956
Practice Address - Country:US
Practice Address - Phone:214-827-2873
Practice Address - Fax:214-818-4763
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX831549163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant