NPI 1770956914

Amanda Penwell, CDM

Practitioner Midwife Fairbanks, AK

Practice location

Address: 2054 30th Ave, Fairbanks, AK 99701-7316
Phone: (907) 456-3719

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MIDM36 (AK)

Other Midwife providers in Alaska →

Registry record

NPI: 1770956914
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2015
Record last updated: 10 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.