Provider Demographics
NPI:1023620515
Name:EPPERSON, AMBER R
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:R
Last Name:EPPERSON
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 1:237 HOFFECKERS MILL DR # DE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4860
Mailing Address - Country:US
Mailing Address - Phone:267-981-5468
Mailing Address - Fax:
Practice Address - Street 1:237 HOFFECKERS MILL DR # DE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-4860
Practice Address - Country:US
Practice Address - Phone:267-981-5468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver