IndividualActive
Amanda Gerrald
NPI 1144637166 · Pediatric Nurse Practitioner · Conway, SC
Provider details
- NPI number
- 1144637166
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18893 (SC)
Mailing address
1608 Main St
Conway, SC 29526-3572
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.