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
Mailing address133 Glendale Village Ln, Wallace, NC 28466-1637