Individual
AMANDA SHRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
(704) 547-9739
Mailing address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
(704) 547-9739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013026
NC
Other
Enumeration date
01/19/2017
Last updated
03/01/2021
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