Lacina, Amber Jane

Lacina, Amber Jane is an individual health care provider with primary practice located at 111 10Th St Sw , Waverly IA 50677-2925. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lacina, Amber Jane can be contacted via phone (319) 352-1353.

Contact Information

Primary practice address
111 10Th St Sw Waverly IA 50677-2925
Phone: (319) 352-1353
Fax: (319) 352-2329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 123916 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G-123916 Iowa

Profile Details

NPI number 1033436480
LBN Legal business name Lacina, Amber Jane
Credentials BSN, RN, MSN, APMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Dec 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033436480 NPPES
Iowa MEDICAID 0074435

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