Individual provider · Type 1 NPI

Amanda Lee Groome, AGNP-C

Primary Care Nurse Practitioner · Greenville, SC

NPI number 1013217850 Active

Practice location

255 Enterprise Blvd, Suite 101
Greenville, SC 29615-6300

Fax (864) 454-8125

Mailing address

1 Independence Pt, Suite 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X19644 (SC)
Primary Care Nurse Practitioner Primary 363LP2300X19644 (SC)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1013217850

Amanda Lee Groome, AGNP-C's National Provider Identifier is 1013217850, issued on Oct 27, 2010. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Greenville, SC. The record was last updated on Nov 30, 2021.