Individual
AMANDA A BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1524 ATWOOD AVE, SUITE 220, JOHNSTON, RI 02919-3228
(401) 272-1900
(401) 453-3049
Mailing address
1524 ATWOOD AVE, SUITE 220, JOHNSTON, RI 02919-3228
(401) 272-1900
(401) 453-3049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3824
MASSACHUSETTS LIC #
MA
Enumeration date
08/24/2009
Last updated
03/23/2016
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