Individual provider · Type 1 NPI

Amanda Ileene Stack, NP

Pediatric Nurse Practitioner · Aurora, CO

NPI number 1699648196 Active

Practice location

1665 Aurora Ct
Aurora, CO 80045-2517

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 13123 E 16th Ave, Aurora, CO 80045-7106 · (720) 777-1234

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPN.1001191-NP (CO)

Pediatric Nurse Practitioner: Definition to come...

136 other providers at this address

Other pediatric nurse practitioner providers in Aurora

See all in Aurora →

About NPI 1699648196

Amanda Ileene Stack, NP's National Provider Identifier is 1699648196, issued on Sep 29, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Nov 19, 2025.