IndividualActive
Amanda Stack, NP
NPI 1699648196 · Pediatric Nurse Practitioner · Aurora, CO
Provider details
- NPI number
- 1699648196
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sole proprietor
- No
- License
- APN.1001191-NP (CO)
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.