Individual
MRS. AMANDA FURR UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1035 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-4477
(704) 316-1886
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007996
NC
363LF0000X
Family Nurse Practitioner
5007996
NC
Other
Enumeration date
09/17/2015
Last updated
10/06/2015
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