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Individual

AMANDA HILL FENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3200 TYRE NECK RD, SUITE 101, PORTSMOUTH, VA 23703-3329
(757) 399-1157
(757) 399-1158
Mailing address
3200 TYRE NECK RD STE 101, PORTSMOUTH, VA 23703-3329
(757) 399-7451

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169937
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
089712
VA

Other

Enumeration date
02/09/2012
Last updated
03/17/2026
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