AMY JEAN LAKE NPI 1265098511

NPI Information

NPI: 1265098511
Provider Name: AMY JEAN LAKE
Classification: Emergency Medical Technician, Intermediate - 146M00000X
Entity Type: Individual
Address:
118 E HASKELL ST
WINNEMUCCA, NV
ZIP 89445
Phone: (775) 623-5222
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Amy Jean Lake is an emergency medical technician intermediate in Winnemucca, NV. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Amy Jean Lake NPI is 1265098511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

118 E HASKELL ST
WINNEMUCCA, NV
ZIP 89445-247
Phone: (775) 623-5222

The enumeration date for this NPI number is 5/13/2019 and was last updated on 5/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146M00000X	Emergency Medical Technician, Intermediate		76256	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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