Individual
MRS. AMANDA DILLON BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-ANP
Contact information
Practice address
420 N SALISBURY ST, LEXINGTON, NC 27292-3548
(336) 249-6215
(336) 249-6771
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NC900262
NC
363LG0600X
Gerontology Nurse Practitioner
NC900262
NC
Other
Enumeration date
08/29/2008
Last updated
10/16/2019
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