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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA RAE FORRISTAL

Active Sole Proprietor

AMANDA RAE FORRISTAL is a Advanced Practice Midwife healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1861531360 is currently active in the NPPES registry. Verify at CMS.

Advanced Practice Midwife · FORT CAMPBELL, KY

Registration Details

NPI Number
1861531360
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2007 (19.376088303423 yrs)
Last Updated
Dec 11, 2018
License
4704243857 (MI)
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988035
Primary Specialty
Advanced Practice Midwife
367A00000X

Other Advanced Practice Midwife Providers in FORT CAMPBELL, KY

Name Credential NPI
AMY MICHELLE PAPSZYCKI CNM 1811990211
CAROL LINDSEY CNM 1881669620
MS. DONNA J. KENT 1992768063
RHONDA LYNN CENTUOLO CNM 1639181431
SHIRLEY FUELL-HARRIS 1922193119
TAMMY M WILLIAMS CNM 1043307168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.