Provider Demographics
NPI:1386455061
Name:LORENZANA, AMBER MICHELE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:MICHELE
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31065
Mailing Address - Street 2:
Mailing Address - City:FORT GREELY
Mailing Address - State:AK
Mailing Address - Zip Code:99731-1065
Mailing Address - Country:US
Mailing Address - Phone:850-287-1300
Mailing Address - Fax:
Practice Address - Street 1:2730 ALASKA HWY
Practice Address - Street 2:
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737
Practice Address - Country:US
Practice Address - Phone:907-895-6233
Practice Address - Fax:907-895-8956
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK232123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily