IndividualActive
Amanda Roberts, QOM
NPI 1154961100 · Other Specialist/Technologist · Tyner, NC
Provider details
- NPI number
- 1154961100
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- QOM
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
113 County Line Rd
Tyner, NC 27980-9690
Registry dates
- Enumerated
- 2020-01-07
- Last updated
- 2020-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.