Individual
MS. AMANDA MARIE POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
530 W WEBB AVE, BURLINGTON, NC 27217-3706
(336) 228-8316
Mailing address
530 W WEBB AVE, BURLINGTON, NC 27217-3706
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5023305
NC
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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