Individual
AMANDA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 JEFFERSON PARK AVE FL 3, CHARLOTTESVILLE, VA 22903
(434) 924-2203
(434) 924-9656
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176117
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609368802
—
VA
Enumeration date
06/04/2018
Last updated
07/19/2018
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