Provider Demographics
NPI:1801456397
Name:PABON, AMANDA MARIE (APRNCNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:PABON
Suffix:
Gender:F
Credentials:APRNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4515 FALLS OF NEUSE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6374
Mailing Address - Country:US
Mailing Address - Phone:919-877-9959
Mailing Address - Fax:919-235-0770
Practice Address - Street 1:4515 FALLS OF NEUSE RD STE 420
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6374
Practice Address - Country:US
Practice Address - Phone:919-877-9959
Practice Address - Fax:919-235-0770
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily