Individual
MARIA REVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8241
Mailing address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
779426
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9301617
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA9301617
FL
Other
Enumeration date
04/11/2016
Last updated
02/20/2026
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