Individual provider · Type 1 NPI
Amanda Elizabeth Phelan, CPNP
Pediatric Nurse Practitioner · Charleston, SC
NPI number
1336538073
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 19186 (SC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336538073
Amanda Elizabeth Phelan, CPNP's National Provider Identifier is 1336538073, issued on Jan 19, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, SC. The record was last updated on Jan 19, 2015.