Individual
MRS. AMBER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 PENNDALE DR, AMITYVILLE, NY 11701-2026
(843) 499-6094
Mailing address
16 PENNDALE DR, AMITYVILLE, NY 11701-2026
(843) 499-6094
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329831
LPN LICENSE NUMBER
NY
Enumeration date
08/24/2017
Last updated
07/21/2022
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