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NPI Code Detail

MEDICARE: AMANDA JILL HANDLEY CRNA

MEDICARE:   AMANDA JILL HANDLEY  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist898759TX
2367500000XCertified Registered Nurse Anesthetist1-097084AL
3367500000XCertified Registered Nurse AnesthetistAPRN11027698FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912146374
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JILL HANDLEY CRNA
Provider Business Mailing Address
First Line : PO BOX 6923
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-1006
Country : US
Telephone Number : 205-907-1265
Fax Number :
Provider Business Practice Location Address
First Line : 1225 AIRPORT RD
Second Line :
City : DESTIN
State : FL
Zip : 32541-2909
Country : US
Telephone Number : 850-650-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2009
Last Update Date : 03/27/2024

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Directions to “ AMANDA JILL HANDLEY CRNA” Practice Location

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