Provider Demographics
NPI:1518730514
Name:MYATT, AMIEE MICHELE (NP)
Entity Type:Individual
Prefix:
First Name:AMIEE
Middle Name:MICHELE
Last Name:MYATT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NC HIGHWAY 55 W
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-8639
Mailing Address - Country:US
Mailing Address - Phone:252-259-8395
Mailing Address - Fax:
Practice Address - Street 1:1255 NC HIGHWAY 55 W
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-8639
Practice Address - Country:US
Practice Address - Phone:252-259-8395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC199608363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health