Individual
AMY LAUREN LANTRIP WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
210 S CAMERON ST, HILLSBOROUGH, NC 27278-2505
(919) 732-9311
(919) 732-9315
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ARNP9178930
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9178930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304105100
—
FL
Enumeration date
05/16/2006
Last updated
08/20/2021
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