Individual
AMBER W WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
103 SANDREED DR, MOORESVILLE, NC 28117-4360
(704) 614-3401
Mailing address
103 SANDREED DR, MOORESVILLE, NC 28117-4360
(704) 614-3401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06190494
NC
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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