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NPI Code Detail

MEDICARE: MS. AMY STEVENSON MCCUNNEY RNC, NNP

MEDICARE: MS. AMY STEVENSON MCCUNNEY RNC, NNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0005XCritical Care Neonatal Nurse Practitioner152020NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912055914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY STEVENSON MCCUNNEY RNC, NNP
Provider Business Mailing Address
First Line : PO BOX 603949
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3949
Country : US
Telephone Number : 919-350-2266
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1295
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 03/28/2024

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