# AMY BANNERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104771450
- **Gender:** F
- **Credential:** PHLEBOTOMIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Q00000X | Pathology Specialist/Technologist | Y2G5T7L7 | NC | Yes |

## Other

- **Enumeration date:** 03/02/2026
- **Last updated:** 03/02/2026