Individual
AMANDA RENEE LAREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
086554
WV
367500000X
Certified Registered Nurse Anesthetist
67755
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN67755-CRNA
WV
Other
Enumeration date
01/13/2011
Last updated
08/13/2019
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