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Individual

AMY ELIZABETH WILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.006855
IL
367A00000X
Advanced Practice Midwife
712808
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175342802
TX
Enumeration date
12/14/2006
Last updated
05/13/2012
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