Individual
ANDREA MAIBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
4820 MARSH HAMMOCK DR E, JACKSONVILLE, FL 32224-2825
(937) 620-4173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019534
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9356865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003185986A
—
GA
05
—
019992600
—
FL
Enumeration date
12/30/2016
Last updated
05/29/2023
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