Individual
AMANDA F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1750 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 339-1446
(877) 500-1463
Mailing address
1750 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 339-1446
(877) 500-1463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCE464A862
MEDICARE PTAN
NC
Enumeration date
06/13/2013
Last updated
11/11/2013
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