Provider Demographics
NPI:1194551416
Name:YORK, AMANDA M (CD, CBC, CBE)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:YORK
Suffix:
Gender:F
Credentials:CD, CBC, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4732 DOVER DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-2605
Mailing Address - Country:US
Mailing Address - Phone:719-822-6927
Mailing Address - Fax:
Practice Address - Street 1:4732 DOVER DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-2605
Practice Address - Country:US
Practice Address - Phone:719-822-6927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula