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Individual

AMANDA RAE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN9432242
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002046
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
02/20/2019
Last updated
03/17/2020
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