Individual
AMANDA MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
21 MERCHANTS ROW, BOSTON, MA 02109-2005
(617) 973-9700
Mailing address
187 WARREN AVE UNIT 2, BOSTON, MA 02116-5928
(310) 525-4486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2287504
MA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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