Individual
AMANDA N CROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, AOCNP
Contact information
Practice address
1000 BLYTHE BLVD, SUITE 3809 CAROLINAS MEDICAL CENTER-RADIATION ONCOLOGY, CHARLOTTE, NC 28203-5812
(704) 355-2272
(704) 333-3397
Mailing address
200 QUEENS RD, SUITE 400 SOUTHEAST RADIATION ONCOLOGY GROUP, CHARLOTTE, NC 28204-3264
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2592234
MEDICARE PTAN
NC
01
—
259223A
MEDICARE PTAN
NC
01
—
259223B
MEDICARE PTAN
NC
Enumeration date
02/28/2006
Last updated
04/05/2013
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