Individual provider · Type 1 NPI

Charlotte Amanda Cullipher, AGNP-C

Nurse Practitioner · Winston Salem, NC

NPI number 1063923076 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

3755 Robinson St
Bethel, NC 27812-4300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5009980 (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…

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About NPI 1063923076

Charlotte Amanda Cullipher, AGNP-C's National Provider Identifier is 1063923076, issued on Oct 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 17, 2017.