Individual
AMANDA ELAINE TATTERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3805 COMPUTER DR, RALEIGH, NC 27609-6503
(919) 781-6200
(919) 847-7471
Mailing address
3805 COMPUTER DR, RALEIGH, NC 27609-6503
(919) 781-6200
(919) 783-1819
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5008353
NC
Other
Enumeration date
02/06/2016
Last updated
10/29/2024
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