# MRS. AMANDA LEIGH EXUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255093068
- **Gender:** F
- **Credential:** APRN, CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 22833 | SC | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 12/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NP7953 | — | SC |
| 01 | — | SCL406H895 | MEDICARE PIN | SC |