Individual
MRS. AMANDA JEAN BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN278185
MA
163WH0200X
Home Health Registered Nurse
RN278185
MA
163WL0100X
Lactation Consultant (Registered Nurse)
L-42317
MA
163WM0102X
Maternal Newborn Registered Nurse
RN278185
MA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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