Amber Renee Berry, MSN RN
Individual provider Active NPI Registered Nurse · Fairlawn, OH
NPI 1629524178 · NPPES record last updated Aug 25, 2016
Key facts
- NPI
- 1629524178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.220278 (OH)
- Practice address
- 3200 W Market St
Suite 111
Fairlawn, OH 44333-3335 - Phone
- (330) 606-9561
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.220278 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.220278 | OH | Yes |
Addresses
Primary practice location
3200 W Market St
Suite 111
Fairlawn, OH 44333-3335
Mailing address
3200 W Market St
Suite 111
Fairlawn, OH 44333-3335
Phone (330) 606-9561
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.