Healthcare Provider Details

I. General information

NPI: 1538830930
Provider Name (Legal Business Name): AMY ELISE DUNCAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY APADULA PA-C

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10208 CERNY ST STE 204
RALEIGH NC
27617-7885
US

IV. Provider business mailing address

10208 CERNY ST STE 204
RALEIGH NC
27617-7885
US

V. Phone/Fax

Practice location:
  • Phone: 919-381-5540
  • Fax:
Mailing address:
  • Phone: 919-381-5540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0010-11661
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0010-11661
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: