IndividualActive
Amanda Forristal
NPI 1861531360 · Advanced Practice Midwife · Fort Campbell, KY
Provider details
- NPI number
- 1861531360
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704243857 (MI)
Mailing address
300 East Hospital Road
Fort Gordon, GA 30905
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2018-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.