Individual
AMBER LEE PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3500 ARENDELL ST, MOREHEAD CITY, NC 28557-2901
(252) 808-6281
Mailing address
708 COVINGTON CT, HUBERT, NC 28539-4539
(706) 280-2861
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
67555
NC
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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