MEDICARE: AMY MARIE WASHINGTON

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
1	374J00000X	Doula		VA

General Provider Information

NPI Number	:	1922931740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE WASHINGTON

Provider Business Mailing Address
First Line	:	1005 FIFTH AVE
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-2219
Country	:	US
Telephone Number	:	804-909-0339
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 FIFTH AVE
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-2219
Country	:	US
Telephone Number	:	804-909-0339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ AMY MARIE WASHINGTON ” Practice Location

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