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NPI Code Detail

MEDICARE: AMBER BADRI CRNA

MEDICARE: AMBER BADRI 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 AnesthetistRN231664GA
2367500000XCertified Registered Nurse Anesthetist116354-23NH

General Provider Information

NPI Number : 1093220048
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER BADRI CRNA
Provider Business Mailing Address
First Line : PO BOX 551420
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33355-1420
Country : US
Telephone Number : 800-243-3839
Fax Number : 855-851-4405
Provider Business Practice Location Address
First Line : 5353 REYNOLDS ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-6015
Country : US
Telephone Number : 912-355-7214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 01/19/2026

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