Fraser, Amanda Jean

Fraser, Amanda Jean is an individual health care provider with primary practice located at 14 Regional Dr , Pinehurst NC 28374-8850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fraser, Amanda Jean can be contacted via phone (910) 295-6661.

Contact Information

Primary practice address
14 Regional Dr Pinehurst NC 28374-8850
Phone: (910) 295-6661
Fax: (910) 295-6524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02636 North Carolina

Profile Details

NPI number 1518135748
LBN Legal business name Fraser, Amanda Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2008
Last updated Oct 30th, 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 1518135748 NPPES
North Carolina Other NCU839A MEDICARE PTAN
North Carolina MEDICAID 1518135748 MEDICARE PTAN
North Carolina Other NCU839B MEDICARE PTAN

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