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Individual

AMANDA K HAWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM, PMHNP-BC

Contact information

Practice address
535 S EMPORIA AVE STE 103, WICHITA, KS 67202-4534
(316) 841-6861
(316) 854-9673
Mailing address
535 S EMPORIA AVE STE 103, WICHITA, KS 67202-4534
(316) 841-6861
(316) 854-9673

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-82235-012
KS
367A00000X
Advanced Practice Midwife
53-78649
KS

Other

Enumeration date
06/16/2020
Last updated
08/09/2024
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