Provider Demographics
NPI:1144723909
Name:BROWN, AMANDA MARY (CNM, MPH)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARY
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNM, MPH
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MARY
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1022 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1509
Mailing Address - Country:US
Mailing Address - Phone:919-260-2366
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife