AMBER STAR WEDGE LPN
NPI 1013475771
Licensed Practical Nurse in Poplar Bluff, MO

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since March 12, 2019

3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amber Star Wedge Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER STAR WEDGE LPN (NPI 1013475771) is an individual licensed practical nurse in Poplar Bluff, Missouri, licensed in Missouri (2015033100) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1013475771

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMBER STAR WEDGECredential: LPN

Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685

Mailing Address3001 Warrior LnPoplar Bluff, MO 63901-8685 · (573) 686-1200

Phone(573) 686-1200

Sole ProprietorNo

Enumeration DateMarch 12, 2019

✔ NPI 1013475771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 2015033100

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3001 WARRIOR LN, Poplar Bluff, MO 63901

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