Individual
AMANDA B REEVES VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1088229
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051523223
BLUE CROSS
AL
01
—
P00117447
RAILROAD MEDICARE
AL
Enumeration date
07/10/2006
Last updated
05/13/2010
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