Individual
AMANDA BROOKE WENDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
(910) 878-6700
Mailing address
6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
012345
NC
363L00000X
Nurse Practitioner
Primary
012345
NC
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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