Individual
AMANDA DUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2900
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
06146123
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06146123
LICENSE
NH
Enumeration date
08/13/2012
Last updated
08/13/2012
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