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Contact Information

AMANDA WOMACK
8037 PERRY ST APT 164
OVERLAND PARK, KS66204-4756
 Phone: 405-819-6925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for AMANDA WOMACK · (Female)

NPI Number 1689116030
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2016
Last updated 06/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • ST JOHN BROKEN ARROW - (Acute Care)
    1000 WEST BOISE CIRCLE
    BROKEN ARROW, OK 74012
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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