Amanda L Shirley, FNP-C
Nurse Practitioner in Oak Island, NC. Individual provider (NPI-1).
NPI number1124697206
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1124697206
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Shirley
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5014531 | NC | Yes |
| 363LC1500X | Nurse Practitioner, Community Health | 5014531 | NC |
Practice location
2950 Pine Plantation PkwyOak Island, NC 28461-0119
Phone 910-454-4032 · Fax 910-454-4033
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
201 W Boiling Spring Rd
Southport, NC 28461-9730
Southport, NC 28461-9730
Phone 910-845-5333
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