Individual
AMY BALMFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3147
(386) 231-3695
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4519
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP143813
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9469611
FL
367500000X
Certified Registered Nurse Anesthetist
RNA143047
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119595700
—
FL
Enumeration date
01/06/2015
Last updated
10/21/2025
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