Individual
AMY KRISTEN AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3 ASTER PL, WORCESTER, MA 01603-2201
(508) 769-5875
Mailing address
3 ASTER PL, WORCESTER, MA 01603-2201
(508) 769-5875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN260678
MA
Other
Enumeration date
11/23/2009
Last updated
03/27/2015
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