Individual
AMY SMITH ENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9600905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034X
BCBS ID #
NC
01
—
1536909
CIGNA ID #
NC
05
—
1730179193
—
NC
05
—
891034X
—
NC
01
—
9202504
AETNA
—
Enumeration date
10/26/2005
Last updated
02/23/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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