Individual
MR. SEAN MICHAEL AMPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2020
(757) 225-4289
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024172350
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0001256424
VA
Other
Enumeration date
12/01/2014
Last updated
07/16/2015
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