IndividualActive
Amanda Bazemore, AGNP
NPI 1205702271 · Adult Health Nurse Practitioner · Charlotte, NC
Provider details
- NPI number
- 1205702271
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5023304 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1232 East Blvd
Charlotte, NC 28203-5708
Phone: (980) 221-6487
Approximate (ZIP-level) locationGet directions
Mailing address
1232 East Blvd
Charlotte, NC 28203-5708
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.