Individual
AMANDA A FAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 678207, DALLAS, TX 75267-8207
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN1626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0610
—
SC
Enumeration date
05/03/2006
Last updated
03/27/2019
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