Basic Information
| Provider Information | |||||||||
| NPI: | 1801402169 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMRO | ||||||||
| FirstName: | NOOR | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4055 N PARK LOOP | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381524220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9016782003 | ||||||||
| FaxNumber: | 9016784541 | ||||||||
| Practice Location | |||||||||
| Address1: | 2818 NE 145TH ST | ||||||||
| Address2: | |||||||||
| City: | SHORELINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981557556 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2064182900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2020 | ||||||||
| LastUpdateDate: | 06/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 29878 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 363LF0000X | 61218135 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.