Individual
AMELIA ANNETTE LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
129 JACOBS WOODS CIR, TROUTMAN, NC 28166-9506
(704) 880-1707
Mailing address
5734 WOODCREST DR, RALEIGH, NC 27603-4652
(704) 880-1707
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6240
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2019
Last updated
06/26/2024
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