Provider Demographics
NPI:1730452335
Name:LANTHIER, AMANDA MICHELE (APRN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MICHELE
Last Name:LANTHIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 SHIRLEY RD
Mailing Address - Street 2:
Mailing Address - City:FORT LAWN
Mailing Address - State:SC
Mailing Address - Zip Code:29714-8797
Mailing Address - Country:US
Mailing Address - Phone:803-371-2351
Mailing Address - Fax:
Practice Address - Street 1:108 HEALTHCARE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-8037
Practice Address - Country:US
Practice Address - Phone:803-313-3153
Practice Address - Fax:843-985-9715
Is Sole Proprietor?:No
Enumeration Date:2012-02-14
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17743363LA2100X
SCAPN17743363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care