Individual
AMANDA MARIE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
5336 STADIUM TRACE PKWY, SUITE 104, HOOVER, AL 35244-4580
(205) 958-5394
Mailing address
2964 KELHAM GROVE WAY, BIRMINGHAM, AL 35242-6715
(479) 372-2478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-128896
AL
163W00000X
Registered Nurse
R081462
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
1-128896
AL
Other
Enumeration date
03/29/2013
Last updated
03/03/2022
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