Individual
AMANDA GETTIER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1333 S DICKINSON DR, SUITE 240, LELAND, NC 28451-6430
(910) 332-0241
(910) 332-0246
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 332-0241
(910) 332-0246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005929
NC
363LF0000X
Family Nurse Practitioner
Primary
256313
NC
363LF0000X
Family Nurse Practitioner
5005929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619211893
—
NC
05
—
7006494
—
NC
Enumeration date
11/12/2012
Last updated
05/19/2016
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