Provider Demographics
NPI:1043533540
Name:BOITNOTT, AMANDA KAY (WHNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAY
Last Name:BOITNOTT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:K
Other - Last Name:CUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:736 MEDICAL CENTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4250
Mailing Address - Country:US
Mailing Address - Phone:910-452-3666
Mailing Address - Fax:910-397-0930
Practice Address - Street 1:736 MEDICAL CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4250
Practice Address - Country:US
Practice Address - Phone:910-452-3666
Practice Address - Fax:910-397-0930
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041303590363LW0102X
NC5018045207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health