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Individual

AMANDA JANE DODDS STASIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6200
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-7777
(919) 470-8460

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021858
NC

Other

Enumeration date
04/08/2025
Last updated
06/29/2025
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