Individual
AMANDA EMBRY ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 690-8782
(502) 365-2255
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 690-8782
(502) 365-2255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103759
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3006324
KY
Other
Enumeration date
12/07/2009
Last updated
01/22/2015
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