Provider Demographics
NPI:1841943586
Name:POARCH, AMY (CD(DONA))
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:POARCH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 LOVELADY RD
Mailing Address - Street 2:
Mailing Address - City:SODDY DAISY
Mailing Address - State:TN
Mailing Address - Zip Code:37379-5334
Mailing Address - Country:US
Mailing Address - Phone:423-902-7265
Mailing Address - Fax:
Practice Address - Street 1:1051 LOVELADY RD
Practice Address - Street 2:
Practice Address - City:SODDY DAISY
Practice Address - State:TN
Practice Address - Zip Code:37379-5334
Practice Address - Country:US
Practice Address - Phone:423-902-7265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula