Individual
DR. AMANDA CATHERINE MADERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
111 GATEWAY CENTER DR, KERNERSVILLE, NC 27284-2999
(336) 713-5116
Mailing address
5715 MISTY HILL CIR, CLEMMONS, NC 27012-9670
(364) 731-3743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271039
NC
363L00000X
Nurse Practitioner
Primary
5018473
NC
Other
Enumeration date
06/21/2023
Last updated
01/06/2025
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