Amaradasa, Natali

Amaradasa, Natali is an individual health care provider with primary practice located at 3025 Newcastle Loop , Myrtle Beach SC 29588-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Amaradasa, Natali can be contacted via phone (843) 215-2400.

Contact Information

Primary practice address
3025 Newcastle Loop Myrtle Beach SC 29588-4502
Phone: (843) 215-2400
Fax: (843) 215-2444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18864 South Carolina

Profile Details

NPI number 1881000255
LBN Legal business name Amaradasa, Natali
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881000255 NPPES
South Carolina MEDICAID NP2919
South Carolina MEDICAID GP4505

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