Basic Information
| Provider Information | |||||||||
| NPI: | 1881022788 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASCHALL | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | HAYNES | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1125 ALSTON VILLAGE LN | ||||||||
| Address2: | |||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275191852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2529161382 | ||||||||
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| Practice Location | |||||||||
| Address1: | 876 TIMBER DR | ||||||||
| Address2: | |||||||||
| City: | GARNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275294850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198032285 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2013 | ||||||||
| LastUpdateDate: | 04/08/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 5006565 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.