Individual
AMANDA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RN, CPNP
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2336801
MA
163WG0000X
General Practice Registered Nurse
RN2336801
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
10073
CT
363LP0200X
Pediatric Nurse Practitioner
RN2336801
MA
Other
Enumeration date
05/18/2021
Last updated
09/12/2022
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