Individual
AMANDA SCARLETT MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207549
NC
163W00000X
Registered Nurse
905058
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
005823
NC
367500000X
Certified Registered Nurse Anesthetist
207549
NC
Other
Enumeration date
06/07/2017
Last updated
11/17/2021
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