Individual
BAMBI LYNN DURIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
909 E MELBOURNE AVE, MELBOURNE, FL 32901-5578
(321) 704-2544
Mailing address
909 E MELBOURNE AVE, MELBOURNE, FL 32901-5578
(321) 704-2544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9300056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187337
—
OH
Enumeration date
08/22/2006
Last updated
10/20/2014
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