Individual
MRS. AMANDA LEE ASSAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
12 WAYNE MEMORIAL DR, DARTMOUTH, MA 02747-3125
(508) 989-8734
Mailing address
12 WAYNE MEMORIAL DR, DARTMOUTH, MA 02747-3125
(508) 989-8734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG09200089
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN275741
MA
Other
Enumeration date
11/30/2012
Last updated
09/20/2020
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