Individual
AMANDA ELIZABETH HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425
(843) 792-3224
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21225
SC
363LA2200X
Adult Health Nurse Practitioner
ARNP9475974
FL
Other
Enumeration date
01/16/2018
Last updated
04/24/2019
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