Individual
AMANDA THERESA LANCELEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
116 SUMMER ST, HAVERHILL, MA 01830-6032
(781) 630-2540
Mailing address
116 SUMMER ST, HAVERHILL, MA 01830-6032
(781) 630-2540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2261672
MA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
RN2261672
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2261672
MA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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