Healthcare Provider Details

I. General information

NPI: 1609241876
Provider Name (Legal Business Name): AMBER LEIGH ZUKAS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S CEDAR CREST BLVD STE 401
ALLENTOWN PA
18103-6218
US

IV. Provider business mailing address

401 N BROADWAY ST WEINBERG BUILDING
BALTIMORE MD
21287-0019
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-7880
  • Fax:
Mailing address:
  • Phone: 610-704-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR200712
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016473
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: