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NPI Code Detail

MEDICARE: AMANDA EILEEN WILKINS

MEDICARE: AMANDA EILEEN WILKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife0024173645VA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner0024173645VA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner4051752KY
4176B00000XMidwife000312IPNC

General Provider Information

NPI Number : 1538517222
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA EILEEN WILKINS
Provider Business Mailing Address
First Line : 1126 ARMISTEAD RD
Second Line :
City : NATHALIE
State : VA
Zip : 24577-2980
Country : US
Telephone Number : 919-451-4135
Fax Number :
Provider Business Practice Location Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2016
Last Update Date : 05/21/2026

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