IndividualActive
Amanda Phelan, CPNP
NPI 1336538073 · Pediatric Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1336538073
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 19186 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2015-01-19
- Last updated
- 2015-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.