Amber Ford
Nurse Practitioner, Family in Fortuna, CA. Individual provider (NPI-1).
NPI number1114238797
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1114238797
- Entity type
- Individual (NPI-1)
- Name
- Amber Ford
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2010
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95029240 | CA | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
3302 Renner DrFortuna, CA 95540-7103
Phone 707-725-3318 · Fax 707-725-1998
Mailing address
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Fortuna, CA
- Elaine K Bettiga, FNPNPI 1902810252
- Danielle Leighann Cole, NP-CNPI 1427520550
- Lori Ann Cutler, FNPNPI 1336393776
- Mary Terese Dodd, FNPNPI 1386367381
All 5 Family Nurse Practitioner providers in Fortuna · All 255 providers in Fortuna
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