Individual provider · NPI-1

Amanda Carpenter Cousins, MD

Obstetrics & Gynecology, Gynecologic Oncology · Tacoma, WA

NPI number1033537683
StatusActive
Last updated in NPPESJun 27, 2023

Details

NPI
1033537683
Entity type
Individual (NPI-1)
Name
Amanda Carpenter Cousins
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2014
Certification date
Jun 27, 2023
Last updated
Jun 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology0101260303VAYes
207V00000X Obstetrics & Gynecology0101260303VA

Other names

  • Amanda Jo Carpenter (Former Name)

Practice location

9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-0001

Phone 301-295-4000

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001

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