Provider Demographics
NPI:1992169130
Name:PICART, AMANDA LITTON (PNP-AC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LITTON
Last Name:PICART
Suffix:
Gender:F
Credentials:PNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5260Y DUKE N
Mailing Address - Street 2:DUMC BOX 3046
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-5872
Mailing Address - Fax:919-681-8357
Practice Address - Street 1:5260Y DUKE N
Practice Address - Street 2:DUMC BOX 3046
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-5872
Practice Address - Fax:919-681-8357
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC255679363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics