Amanda Johnson, CRNA | |
40100 Highway 27, Davenport, FL 33837-5906 | |
(863) 412-2599 | |
Not Available |
Full Name | Amanda Johnson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 40100 Highway 27, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801594346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | APRN11026521 (Florida) | Primary |
Entity Name | Ams National Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Mailing Address | Practice Location Address |
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Amanda Johnson, CRNA 40100 Highway 27, Davenport, FL 33837-5906 Ph: () - | Amanda Johnson, CRNA 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 412-2599 |
Sean Charles Pacamalan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 407-222-2259 | |
Daniel Marvin Brenner, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40124 Us-27, Davenport, FL 33837 Phone: 863-419-4000 | |
Charles Jason Calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Rachel Alison Kenyon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-419-2399 Fax: 863-419-2405 |