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Individual

AMANDA S PATTANAYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
30 CHOCTAW ST, ASHEVILLE, NC 28801-4513
(828) 255-7733
Mailing address
PO BOX 603443, CHARLOTTE, NC 28260-3443

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230797
NC
163W00000X
Registered Nurse
237113
MA
363L00000X
Nurse Practitioner
Primary
5004573
NC
363LA2200X
Adult Health Nurse Practitioner
230797
NC
363LA2200X
Adult Health Nurse Practitioner
237113
MA

Other

Enumeration date
05/12/2008
Last updated
09/22/2016
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