Individual provider · Type 1 NPI

Amanda Gordon Cancilla, NP

Acute Care Nurse Practitioner · Charlotte, NC

NPI number 1144289000 Active

Practice location

225 Baldwin Ave
Charlotte, NC 28204-3109

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	005001127 (NC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1144289000

Amanda Gordon Cancilla, NP's National Provider Identifier is 1144289000, issued on Mar 20, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlotte, NC. The record was last updated on Sep 17, 2020.