Healthcare Provider Details

I. General information

NPI: 1285211003
Provider Name (Legal Business Name): AMANDA NICOLE MARKER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 S CROATAN HWY
NAGS HEAD NC
27959-9704
US

IV. Provider business mailing address

4800 S CROATAN HWY
NAGS HEAD NC
27959-9704
US

V. Phone/Fax

Practice location:
  • Phone: 252-449-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2026-02205
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: