Individual provider · Type 1 NPI

Amanda Rae Padilla Marquez, NP-C

Nurse Practitioner · Charlotte, NC

NPI number 1053897645 Active

Practice location

14135 Ballantyne Corporate Pl Ste 225
Charlotte, NC 28277-3871

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 15825 Ballantyne Medical Pl Ste 220, Charlotte, NC 28277-4790 · (704) 316-2930
  • 935 W 2nd St, Swansea, SC 29160-8665 · (803) 568-2000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X22057 (SC)
Family Nurse Practitioner 363LF0000X5017371 (NC)
Nurse Practitioner Primary 363L00000X5017371 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1053897645

Amanda Rae Padilla Marquez, NP-C's National Provider Identifier is 1053897645, issued on Jul 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 12, 2025.