Provider Demographics
NPI:1528773009
Name:AMARA HEALTH AND PAIN CENTER PLLC
Entity type:Organization
Organization Name:AMARA HEALTH AND PAIN CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP-BC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:970-632-9661
Mailing Address - Street 1:1540 MAIN ST UNIT 218
Mailing Address - Street 2:PMB 316
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-7914
Mailing Address - Country:US
Mailing Address - Phone:970-632-9661
Mailing Address - Fax:
Practice Address - Street 1:687 GYRFALCON CT UNIT B
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3430
Practice Address - Country:US
Practice Address - Phone:970-632-9661
Practice Address - Fax:970-632-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty