Individual
MS. NAOMI ANN AMUDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY ST, SHAPIRO 7, SUITE B, BOSTON, MA 02118-2526
(617) 638-7460
(617) 638-5226
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN280193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084428A
—
MA
Enumeration date
09/22/2009
Last updated
05/27/2014
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