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Individual

MS. AMANDA WEBB BEVILACQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM/APRN

Contact information

Practice address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
(352) 332-7222
Mailing address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
(352) 332-7222

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
APRN11008820
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN11008820
FL
367A00000X
Advanced Practice Midwife
APRN11008820
FL
367A00000X
Advanced Practice Midwife
RN2297407
MA

Other

Enumeration date
02/19/2015
Last updated
09/14/2021
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