Provider Demographics
NPI:1396072997
Name:TOWNSEND, AMANDA KATHLEEN (CLD (CBI))
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:KATHLEEN
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CLD (CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TEAL PL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4831
Mailing Address - Country:US
Mailing Address - Phone:405-476-8052
Mailing Address - Fax:
Practice Address - Street 1:700 TEAL PL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4831
Practice Address - Country:US
Practice Address - Phone:405-476-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula