Individual provider · Type 1 NPI

Amy Lake, NP

Family Nurse Practitioner · Indianapolis, IN

NPI number 1962966341 Active

Practice location

7120 Clearvista Dr Ste 4000
Indianapolis, IN 46256-1774

Fax (317) 621-3150

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71008912A (IN)
Registered Nurse 163W00000X28191217A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1962966341

Amy Lake, NP's National Provider Identifier is 1962966341, issued on Jan 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 27, 2023.