Individual
FARZANA AMANULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(781) 513-1449
Mailing address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2304080
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2304080
MA
Other
Enumeration date
11/21/2019
Last updated
01/28/2026
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