Provider Demographics
NPI:1962264366
Name:TRAUTMAN, AMBER LEAH (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEAH
Last Name:TRAUTMAN
Suffix:
Gender:
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14308 LELANI DR
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34614-1924
Mailing Address - Country:US
Mailing Address - Phone:352-238-7234
Mailing Address - Fax:
Practice Address - Street 1:10051 COUNTRY RD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-5264
Practice Address - Country:US
Practice Address - Phone:352-763-3936
Practice Address - Fax:352-204-1580
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030904363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health