Individual provider · Type 1 NPI
Amanda Copeland, NP
Gerontology Nurse Practitioner · Myrtle Beach, SC
NPI number
1417490640
Active
Practice location
1600 Farrow Pkwy Unit B6
Myrtle Beach, SC 29577-2011
Fax (843) 839-3422
Mailing address
429 Vereen Rd
Murrells Inlet, SC 29576-7710
Other practice locations
- 2591 N Fraser St, Georgetown, SC 29440-6411 · (843) 546-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 20588 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1417490640
Amanda Copeland, NP's National Provider Identifier is 1417490640, issued on Nov 20, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Myrtle Beach, SC. The record was last updated on Dec 27, 2023.