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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033436480 | NPPES |
Iowa | MEDICAID | 0074435 |
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