Individual
AMANDA DIANE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(615) 445-9733
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(859) 268-1030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4009502
KY
Other
Enumeration date
07/03/2023
Last updated
10/24/2023
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