AMANDA MARY-BETH WAGNILD (NPI# 1730591629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730591629 |
| Entity Type | Individual |
| Full Name | AMANDA MARY-BETH WAGNILD |
| Credential | CLC |
| Practice Address |
Psc 103 Box 2652 Apo AE 09603-0027 |
| Practice Telephone | 7402519233 |
| Mailing Telephone | 7402519233 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 78213 | Other Service Providers |
| Street Address |
PSC 103 BOX 2652 |
| City | APO |
| State | AE |
| Zip Code | 09603-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816693 | Marian D Avoy | Social Worker | Psc 103 Box 4827, Apo, AE 09603 | 2005-10-26 |
| 1134119704 | Jennie Sibley Sheffield | Psychologist | Psc 103 Box 4633, Apo, AE 09603 | 2005-10-25 |
| 1194714576 | Laura Brodhag | Family Medicine | Psc 103 Box 3615, Apo, AE 09603 | 2005-10-18 |
| 1538394341 | Robyn Rosemary Ponomar-ford | Military Health Care Provider | Psc 103 Box 245, Apo, AE 09603-0003 | 2009-05-22 |
| 1164960365 | Matthew Joseph Coen | Dentist | Psc 103 Box 553, Apo, AE 09603-0006 | 2017-02-08 |
| 1912136342 | Benjamin Dwayne Jones | Physician Assistant | 677 Psc 103, Apo, AE 09603-0007 | 2009-07-07 |
| 1881605285 | Yolanda Porter | Pharmacist | Psc 103 Box 1044, Apo, AE 09603-0011 | 2006-08-10 |
| 1578706792 | Denise Diane Hyre | Military Health Care Provider | Psc 103 Box 1328, Apo, AE 09603-0014 | 2009-04-17 |
| 1538394564 | Usaf | Military Hospital | Psc 103 Box 2882, Apo, AE 09603-0029 | 2009-05-20 |
| 1306095104 | 31 Medical Group | Military Hospital | Psc 103 Box 3186, Apo, AE 09603-0032 | 2008-09-17 |
| Find all providers in zip 09603 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736375 | Heather Peet | Lactation Consultant, Non-RN | Psc 303 Box 26, Apo, AP 96204-3026 | 2015-04-06 |
Please comment or provide details below to improve the information on AMANDA MARY-BETH WAGNILD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.