Individual provider · Type 1 NPI

Amanda Gerrald

Pediatric Nurse Practitioner · Conway, SC

NPI number 1144637166 Active

Practice location

1608 Main St
Conway, SC 29526-3572

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X18893 (SC)

Pediatric Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1144637166

Amanda Gerrald's National Provider Identifier is 1144637166, issued on Jul 22, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Conway, SC. The record was last updated on Aug 20, 2024.