Individual
AMANDA ROSE MARIE LABENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 350-1380
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2018-00774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528486990
—
NC
Enumeration date
04/02/2014
Last updated
05/24/2024
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