Healthcare Provider Details

I. General information

NPI: 1871174607
Provider Name (Legal Business Name): AMANDA L SATRIANO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 2ND AVE S
BIRMINGHAM AL
35294-0004
US

IV. Provider business mailing address

1000 HAVILAND DR
VESTAVIA HILLS AL
35216-2333
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-3411
  • Fax:
Mailing address:
  • Phone: 205-492-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-154945
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-154945
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: