Individual
MS. AMBER JANE LACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, MSN, APMHNP
Contact information
Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-1353
(319) 352-2329
Mailing address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-1353
(319) 352-2329
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
123916
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-123916
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
04/26/2010
Last updated
12/29/2015
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