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Individual

MS. AMY A ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(941) 360-1566
(941) 358-9818
Mailing address
PO BOX 919330, ORLANDO, FL 32891-9330
(941) 360-1566
(941) 358-9818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-061909
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3145432
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002954100
FL
01
051514939ROB
BLUE CROSS
AL
05
R0009919465
AL
Enumeration date
07/05/2005
Last updated
02/06/2017
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