Individual
AMY LEAH FREDERICK
Active
Individual
AMY LEAH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001165857
VA
176B00000X
Midwife
0024170677
VA
367A00000X
Advanced Practice Midwife
Primary
0024170677
VA
Other
Enumeration date
08/13/2013
Last updated
07/07/2026
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