Individual
AUDRA M EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
108 W MAIN ST, NORTON, MA 02766-1248
(508) 285-9400
(508) 285-7810
Mailing address
1814 WEST ST, MANSFIELD, MA 02048-1026
(774) 266-6837
(508) 339-2473
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2279257
MA
Other
Enumeration date
04/26/2013
Last updated
01/21/2016
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