Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MAYS LACK, APRN
ActiveAMANDA MAYS LACK, APRN is a Gerontological Nurse Practitioner healthcare provider located in ANDERSON, South Carolina. NPI 1124532528 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ANDERSON, SC
Registration Details
- NPI Number
- 1124532528
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2017 (8.7256112311471 yrs)
- Last Updated
- Dec 14, 2021
- Licenses
-
RN162689 (GA)23238 (SC)
Practice Information
- Address
-
108 HIGHWAY 28 BYPANDERSON, SC, 296243742Browse SC providers · Browse ZIP 29624
- Phone
- 8647728173
- Fax
- 8339961161
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in ANDERSON, SC
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA MARIE PETERMANN | NP-C | 1033399134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.