IndividualActive
Amanda Prouty, CPM, LM
NPI 1083806103 · Midwife · Wylie, TX
Provider details
- NPI number
- 1083806103
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CPM, LM
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1615 Ridgecove Dr
Wylie, TX 75098-8186
Phone: (972) 533-6190
Fax: (469) 361-6687
Approximate (ZIP-level) locationGet directions
Mailing address
1615 Ridgecove Dr
Wylie, TX 75098-8186
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2010-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.