AMANDA GORDON CANCILLA

CHARLOTTE, NC
NPI1144289000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NC  005001127)
Enumeration Date2006-03-20
Last Update Date2020-09-17
Business Address
AMANDA GORDON CANCILLA NP
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
Mailing Address
AMANDA GORDON CANCILLA NP
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
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