Individual
AMELIA LOUISE PEARL MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3421 AMOUR DR, FAYETTEVILLE, NC 28306-8662
(360) 915-2765
Mailing address
3421 AMOUR DR, FAYETTEVILLE, NC 28306-8662
(360) 915-2765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101961
HI
163W00000X
Registered Nurse
340677
NC
363LF0000X
Family Nurse Practitioner
Primary
MACD-4E4T1
NC
Other
Enumeration date
02/21/2023
Last updated
02/28/2023
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