Individual
AMANDA RENEE WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
270 BARKER ST, STEPHENVILLE, TX 76401-1904
(480) 817-8317
Mailing address
240 MOONLIGHT TRL, STEPHENVILLE, TX 76401-2138
(480) 817-8317
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99373
TX
Other
Enumeration date
06/14/2019
Last updated
01/04/2022
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