Individual
AMANDA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
792 MAIN ST, CLINTON, MA 01510-1608
(978) 368-7631
Mailing address
724 MADISON PL, SOUTHBOROUGH, MA 01772-2143
(978) 929-9555
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN22884032
MA
363LF0000X
Family Nurse Practitioner
Primary
RN22884032
MA
Other
Enumeration date
05/18/2014
Last updated
05/19/2016
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