Individual provider · Type 1 NPI

Amanda Lea Taylor, CPNP-AC

Pediatric Nurse Practitioner · Greenville, SC

NPI number 1619305331 Active

Practice location

200 Patewood Dr, Suite A320
Greenville, SC 29615-3593

Call (864) 454-5100 Map

Fax (864) 241-9238

Mailing address

1 Independence Pt, Suite 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X18502 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1619305331

Amanda Lea Taylor, CPNP-AC's National Provider Identifier is 1619305331, issued on Oct 15, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Greenville, SC. The record was last updated on Mar 27, 2014.