Individual
AMANDA ROSE MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
23 WINN ST, WAKEFIELD, MA 01880-1572
(781) 439-8922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2318342
MA
363LF0000X
Family Nurse Practitioner
RN2318342
MA
Other
Enumeration date
03/11/2024
Last updated
11/01/2024
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