Individual
AMY TENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-5057
(919) 684-4611
Mailing address
PO BOX 63362, MANAGED CARE DEPT., CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06409
NC
363AM0700X
Medical Physician Assistant
PA9103035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013442000
—
FL
01
—
9084842
CIGNA
FL
01
—
P1020907
FREEDOM
FL
01
—
P959374
OPTIMUM
FL
01
—
Y08XF
BCBS FL
FL
Enumeration date
03/08/2007
Last updated
10/13/2016
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