Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 412-2599
Mailing address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11026521
FL
Other
Enumeration date
02/22/2023
Last updated
09/11/2023
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