Individual
AMANDA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
225 N MAIN ST UNIT 970, SPRING LAKE, NC 28390-3892
(915) 500-9258
Mailing address
225 N MAIN ST UNIT 970, SPRING LAKE, NC 28390-3892
(915) 500-9258
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN132045
MT
367A00000X
Advanced Practice Midwife
Primary
000328IP
NC
367A00000X
Advanced Practice Midwife
2021016725
MO
367A00000X
Advanced Practice Midwife
APRN132045
MT
Other
Enumeration date
08/13/2018
Last updated
01/05/2026
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