Individual
MRS. AMANDA LEIGH MABE
Active
Individual
MRS. AMANDA LEIGH MABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231639
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5014325
NC
Other
Enumeration date
04/03/2021
Last updated
06/30/2022
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