Individual
AMANDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6575
Mailing address
PO BOX 100254, 1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9324212
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9324212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021270400
—
FL
Enumeration date
04/18/2017
Last updated
09/10/2018
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