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Individual
AMY T AN
Active
Individual
AMY T AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
96957
OK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP8927
AZ
367A00000X
Advanced Practice Midwife
96957
OK
367A00000X
Advanced Practice Midwife
AP8927
AZ
Other
Enumeration date
11/23/2009
Last updated
12/31/2019
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