Individual
MRS. AMANDA NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-3232
Mailing address
1 INDEPENDENCE PT, STE. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92810
NATL. BOARD OF CERT./RECERT. FOR NURSE ANESTHETISTS
—
05
—
PENDING
—
SC
Enumeration date
03/18/2013
Last updated
03/19/2014
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