Provider Demographics
NPI:1306169412
Name:DEVORE, AMBER BETH (RD)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:BETH
Last Name:DEVORE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:BETH
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:3040 HERITAGE LANDING RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8111
Mailing Address - Country:US
Mailing Address - Phone:757-585-5229
Mailing Address - Fax:
Practice Address - Street 1:3040 HERITAGE LANDING RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-8111
Practice Address - Country:US
Practice Address - Phone:757-585-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered