Individual
AMANDA ELIZABETH BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
710 JOHNNIE DODDS BLVD STE 200, MOUNT PLEASANT, SC 29464-3045
(843) 800-1303
(888) 316-7714
Mailing address
1572 REGIMENTAL LN, JOHNS ISLAND, SC 29455-3123
(843) 270-4426
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
63137
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28984
SC
Other
Enumeration date
08/14/2017
Last updated
09/23/2024
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