Provider Demographics
NPI:1639679970
Name:COPLEY, AMANDA FRANCIS (CNM)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:FRANCIS
Last Name:COPLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:FRANCIS
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 S PINNACLE HILLS PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-9016
Mailing Address - Country:US
Mailing Address - Phone:479-338-4000
Mailing Address - Fax:
Practice Address - Street 1:3333 S PINNACLE HILLS PKWY STE 600
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-9016
Practice Address - Country:US
Practice Address - Phone:479-338-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018004097176B00000X
AR230192363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No176B00000XOther Service ProvidersMidwife