Individual provider · Type 1 NPI

Amy Dericks Lober, APN

Nurse Practitioner · Neptune, NJ

NPI number 1104070135 Active

Practice location

1945 Rte 33, Cardiac Surgery
Neptune, NJ 07753-4859

Mailing address

41 Stanford Dr
Hazlet, NJ 07730-2313

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00174700 (NJ)
Adult Health Nurse Practitioner 363LA2200X26NJ00174700 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104070135

Amy Dericks Lober, APN's National Provider Identifier is 1104070135, issued on Nov 4, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Neptune, NJ. The record was last updated on Nov 4, 2008.