Individual
MRS. AMANDA LEE PLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2308897
MA
164W00000X
Licensed Practical Nurse
LN86820
MA
164W00000X
Licensed Practical Nurse
LPN10800
MA
Other
Enumeration date
08/03/2015
Last updated
07/16/2016
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