Individual
NATALI AMARADASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
401 79TH AVE N, MYRTLE BEACH, SC 29572-4310
(843) 948-1191
(843) 948-1192
Mailing address
764 WALNUT KNOLL LN, CORDOVA, TN 38018-3113
(901) 756-5565
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18864
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4505
—
SC
05
—
NP2919
—
SC
Enumeration date
07/07/2014
Last updated
01/09/2026
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