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Individual

AMANDA BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5181
(336) 718-9846
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 778-7568
(336) 714-6404

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
001645
NC
367500000X
Certified Registered Nurse Anesthetist
132378
NC

Other

Enumeration date
10/11/2006
Last updated
01/06/2023
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