Individual provider · Type 1 NPI
Amanda Bazemore, AGNP
Adult Health Nurse Practitioner · Charlotte, NC
NPI number
1205702271
Active
Practice location
1232 East Blvd
Charlotte, NC 28203-5708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5023304 (NC) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1205702271
Amanda Bazemore, AGNP's National Provider Identifier is 1205702271, issued on Oct 15, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charlotte, NC. The record was last updated on Oct 15, 2025.