Individual
MRS. LAUREN AMANDA LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1918 RANDOLPH RD STE 580, CHARLOTTE, NC 28207
(704) 384-9900
(704) 384-9919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9900
(704) 384-9919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008055
NC
363LA2100X
Acute Care Nurse Practitioner
5008055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013387018
—
NC
05
—
NP3580
—
SC
Enumeration date
10/02/2015
Last updated
04/11/2022
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