Individual provider · Type 1 NPI
Amanda Carpenter Close, APRN, CPNP-PC
Pediatric Nurse Practitioner · Lagrange, GA
NPI number
1427588169
Active
Practice location
301 Medical Dr Ste 504
Lagrange, GA 30240-4172
Mailing address
450 Gordon Cir
Lagrange, GA 30240-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN220550 (GA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Lagrange
About NPI 1427588169
Amanda Carpenter Close, APRN, CPNP-PC's National Provider Identifier is 1427588169, issued on Jun 15, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lagrange, GA. The record was last updated on Jun 15, 2017.