AMANDA N WAGUESPACK

BIRMINGHAM, AL
NPI1134422181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-110630)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AL  1-110630)
Enumeration Date2010-12-14
Last Update Date2011-02-21
Business Address
-- AMANDA N WAGUESPACK CRNA
619 19TH ST S ROOM - JT845
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-7072
Mailing Address
-- AMANDA N WAGUESPACK CRNA
PO BOX 11407 DEPARTMENT 1717
BIRMINGHAM, AL 35246-1717
Phone number: 205-934-7072