Individual
AMANDA HIGBY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1035C SEVEN LAKES DR, WEST END, NC 27376-9081
(910) 673-0045
(910) 673-5705
Mailing address
PO BOX 843013, BOSTON, MA 02284-3013
(910) 673-0045
(910) 673-1156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5003936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000620
—
NC
Enumeration date
04/25/2008
Last updated
10/22/2014
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