Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Bannerman, PHLEBOTOMIST

Individual provider Pathology Specialist/Technologist · NPI 1104771450

Amy Bannerman, PHLEBOTOMIST is a Pathology Specialist/Technologist in Wallace, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

133 Glendale Village Ln
Wallace, NC 28466-1637
Phone: (910) 787-6633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Specialist/Technologist (primary) Taxonomy 246Q00000X · Licence Y2G5T7L7 (NC)

Record details

NPI number1104771450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHLEBOTOMIST
Sole proprietorYes
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026