Individual
AMANDA ALICE CAGGIANO COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
830 SILVER ST, AGAWAM, MA 01001-2990
(413) 363-1039
Mailing address
3 HIGH MEADOW RD, FLORENCE, MA 01062-2625
(845) 590-3801
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2281792
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2281792
MA
Other
Enumeration date
09/13/2022
Last updated
10/25/2024
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