Individual
MRS. AMANDA ROSE CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
24430 STONE SPRINGS BLVD STE 475, DULLES, VA 20166-2272
(703) 957-1245
(703) 665-2374
Mailing address
224- D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024189493
VA
367A00000X
Advanced Practice Midwife
300628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619723335
—
VA
05
—
30017859690001
—
VA
Enumeration date
04/24/2024
Last updated
03/04/2026
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