Individual
AMBER NIKOLE SIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
336 LOCUST FORGE LN, LEBANON, OH 45036-7603
(513) 435-3713
Mailing address
336 LOCUST FORGE LN, LEBANON, OH 45036-7603
(513) 435-3713
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.126299IV
OH
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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