AMANDA DERBY

RALEIGH, NC
NPI1043670201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  109837)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: NC  282890)
Enumeration Date2016-03-02
Last Update Date2016-07-01
Business Address
-- AMANDA DERBY CRNA
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
Mailing Address
-- AMANDA DERBY CRNA
3100 SPRING FOREST RD SUITE 130
RALEIGH, NC 27616-2880
Phone number: 919-882-0795