Individual provider · Type 1 NPI

Amanda Marie McCoy Ignaut, NP

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1124677000 Active

Practice location

890 W Faris Rd Ste 580
Greenville, SC 29605-4281

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X71009410A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124677000

Amanda Marie McCoy Ignaut, NP's National Provider Identifier is 1124677000, issued on Sep 4, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on Feb 10, 2021.