Individual
AMY FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1250 HANCOCK ST FL 5, QUINCY, MA 02169-4339
(617) 421-2686
(617) 774-0606
Mailing address
1250 HANCOCK ST FL 5, QUINCY, MA 02169-4339
(617) 421-2686
(617) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2277691
MA
363LG0600X
Gerontology Nurse Practitioner
2277691
MA
Other
Enumeration date
10/17/2013
Last updated
03/01/2020
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