Most Relevant Information
Provider Data
| NPI Number: | 1003469917 |
| Provider Name: | AMANDA CAROL TROGDON CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 262156 |
Most Important Dates
| Enumeration Date: | 07/19/2019 |
| Last Updated: | 06/03/2020 |
Provider Practice Location
2080 W ARLINGTON BLVD STE B
GREENVILLE
NC
278343770
Practice Location Phone/Fax
| Phone: | 2527522140 |
| Fax: | 2526896502 |
Provider Mailing Location
2080 W ARLINGTON BLVD STE B
GREENVILLE
NC
278343770
Provider Mailing Phone/Fax
| Phone: | 2527522140 |
| Fax: | 2526896502 |