Individual
AMBER MAURER ETTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
125 QUEENS RD STE 520, CHARLOTTE, NC 28204-3215
(980) 302-6500
(980) 302-6505
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013757
NC
Other
Enumeration date
11/04/2020
Last updated
01/27/2022
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