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Individual

MRS. AMY REILLY TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN154502
GA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
RN154502
GA

Other

Enumeration date
03/05/2010
Last updated
10/23/2020
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