Individual
MRS. AMANDA DAWN FOX-DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 512-2000
Mailing address
4400 GOLF ACRES DR STE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204354
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
204354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054266
—
NC
05
—
NAN125
—
SC
Enumeration date
12/02/2011
Last updated
07/21/2022
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