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Individual

AMANDA LEIGH MOSTELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGDNP-C

Contact information

Practice address
2555 COURT DR STE 200, GASTONIA, NC 28054-2178
(704) 867-2141
(704) 867-2308
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
216045
NC
363LG0600X
Gerontology Nurse Practitioner
216045
NC
363LP2300X
Primary Care Nurse Practitioner
216045
NC

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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