Individual
AMY GAWEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
(910) 878-6700
(910) 878-6705
Mailing address
PO BOX 843056, BOSTON, MA 02284-3056
(910) 878-6700
(910) 878-6708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500015632
RAILROAD MEDICARE
NC
Enumeration date
07/15/2006
Last updated
02/23/2016
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