IndividualActive
Amanda Wilburn, FNP
NPI 1225659394 · Nurse Practitioner · Conway, SC
Provider details
- NPI number
- 1225659394
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29596 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
212 Main St
Conway, SC 29526-5129
Phone: (843) 488-7337
Approximate (ZIP-level) locationGet directions
Mailing address
5504 Plantersville Pl
Myrtle Beach, SC 29579-3671
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.