Provider Demographics
NPI:1396623955
Name:HARE, AMBER LEE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:HARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 PLEASANT LAKE BLVD APT R10
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7445
Mailing Address - Country:US
Mailing Address - Phone:216-394-1041
Mailing Address - Fax:
Practice Address - Street 1:9931 PLEASANT LAKE BLVD APT R10
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-7445
Practice Address - Country:US
Practice Address - Phone:216-394-1041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant