Individual
AMY MICHELLE MASSIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
148 ASPEN DR, BEAVER, PA 15009-9343
(413) 265-5614
Mailing address
148 ASPEN DR, BEAVER, PA 15009-9343
(413) 265-5614
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN648095
PA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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