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Individual

AMANDA ROSE FARRIS

Active
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Individual

AMANDA ROSE FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNAP, CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95002372
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148969
NBCRNA CERTIFICATION
01
95002372
CALIFORNIA BOARD OF NURSING CRNA LICENSE
CA
01
95231483
CALIFORNIA BOARD OF NURSING RN LICENSE
CA
Enumeration date
06/06/2024
Last updated
07/23/2024
Update your record

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