Individual provider · Type 1 NPI
Amanda Blum
Family Nurse Practitioner · Charleston, SC
NPI number
1275014110
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8911
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 22159 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275014110
Amanda Blum's National Provider Identifier is 1275014110, issued on Aug 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Nov 16, 2018.