Individual provider · Type 1 NPI

Amber Lane, RN

Critical Care Medicine Registered Nurse · Johnson City, TN

NPI number 1003287111 Active

Practice location

300 Med Tech Pkwy
Johnson City, TN 37604-2277

Mailing address

2823 S Roan St, Apt 207
Johnson City, TN 37601-7692

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X0001225785 (VA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1003287111

Amber Lane, RN's National Provider Identifier is 1003287111, issued on Oct 14, 2015. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Johnson City, TN. The record was last updated on Oct 14, 2015.