Individual
MS. AMANDA RENA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
653 W. 23RD, #284, PANAMA CITY, FL 32405
(850) 896-8799
(850) 896-8799
Mailing address
653 W. 23RD, #284, PANAMA CITY, FL 32404
(850) 896-8799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4386
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
9216040
FL
367500000X
Certified Registered Nurse Anesthetist
RN149514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503500
—
FL
01
—
BH925Z
MEDICARE
FL
Enumeration date
03/12/2007
Last updated
07/21/2022
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