IndividualActive
Amy Bannerman, PHLEBOTOMIST
NPI 1104771450 · Pathology Specialist/Technologist · Wallace, NC
Provider details
- NPI number
- 1104771450
- Entity type
- Individual
- Primary specialty
- Pathology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PHLEBOTOMIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- Y2G5T7L7 (NC)
Practice location
133 Glendale Village Ln
Wallace, NC 28466-1637
Phone: (910) 787-6633
Mailing address
133 Glendale Village Ln
Wallace, NC 28466-1637
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.