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Individual

MS. AMANDA RENA BROWN

Active
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Individual

MS. AMANDA RENA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

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
Update your record

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