| Doctor Name: | AMANDA HIGBY MARTIN |
| NPI Number: | 1801061361 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 5003936 |
| Business Practice Address: | 1035c Seven Lakes Dr West End, NC - 273769081 |
| Business Phone Number: | 9106730045 |
| Business Fax Number: | 9106735705 |
| Mailing Address: | Po Box 843013, BOSTON |
| State: | MA |
| Postal Code: | 022843013 |
| Phone Number: | 9106730045 |
| Fax Number: | 9106731156 |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5003936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |