Individual
AMANDA PROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1615 RIDGECOVE DR, WYLIE, TX 75098-8186
(972) 533-6190
(469) 361-6687
Mailing address
1615 RIDGECOVE DR, WYLIE, TX 75098-8186
(972) 533-6190
(469) 361-6687
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
09/04/2010
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