Amber Dawn Brill- McCormack

Individual provider Active NPI Case Manager/Care Coordinator · Lake Isabella, CA

NPI 1912477159 · NPPES record last updated Nov 30, 2018

Key facts

NPI
1912477159
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone
(760) 379-3412
Fax
(760) 379-5332
NPI assigned
Nov 30, 2018
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2731 Nugget Ave
Lake Isabella, CA 93240-9456

Mailing address

2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone (760) 379-3412

Other providers in Lake Isabella, CA

All providers in Lake Isabella, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.