Individual
AMY STEWART-BANBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPN-TN
Contact information
Practice address
2610 AUTUMN AVE, MEMPHIS, TN 38112-2739
(901) 292-5354
(901) 452-8088
Mailing address
2610 AUTUMN AVE, MEMPHIS, TN 38112-2739
(901) 292-5354
(901) 452-8088
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM0000000030.
TN
Other
Enumeration date
02/06/2007
Last updated
11/06/2012
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