Provider Demographics
NPI:1851108906
Name:DULANEY, AMBER R
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:DULANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25271-0369
Mailing Address - Country:US
Mailing Address - Phone:304-786-7418
Mailing Address - Fax:
Practice Address - Street 1:218 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:DAVISVILLE
Practice Address - State:WV
Practice Address - Zip Code:26142-8735
Practice Address - Country:US
Practice Address - Phone:304-615-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator