Provider Demographics
NPI:1831903384
Name:WEBB, AMANDA SANFORD (DNP)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SANFORD
Last Name:WEBB
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:SANFORD
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, MSN, BSN, RN
Mailing Address - Street 1:1619 BAYMONT CT
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-2332
Mailing Address - Country:US
Mailing Address - Phone:828-446-6258
Mailing Address - Fax:
Practice Address - Street 1:2525 COURT DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2140
Practice Address - Country:US
Practice Address - Phone:828-446-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC253375163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine