Provider Demographics
NPI:1023873692
Name:LOEWE, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:LOEWE
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 1:1617 S LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-3740
Mailing Address - Country:US
Mailing Address - Phone:217-741-0804
Mailing Address - Fax:
Practice Address - Street 1:1617 S LOWELL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-3740
Practice Address - Country:US
Practice Address - Phone:217-741-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula