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NPI Code Detail

MEDICARE: MARILYNN AMSPACHER CRNA

MEDICARE: MARILYNN AMSPACHER 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 AnesthetistARNP843732FL

General Provider Information

NPI Number : 1942262357
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYNN AMSPACHER CRNA
Provider Business Mailing Address
First Line : PO BOX 863295
Second Line :
City : ORLANDO
State : FL
Zip : 32886-3295
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8330 LAKEWOOD RANCH BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34202-5174
Country : US
Telephone Number : 941-745-6829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/08/2007

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Directions to “ MARILYNN AMSPACHER CRNA” Practice Location

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