Individual
MISS ANGELA MARIA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, RN,ME.D, LMHC,
Contact information
Practice address
63 MAIN STREET, BROCKTON, MA 02301
(508) 586-7095
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
RN2314063
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2314063
MA
Other
Enumeration date
07/06/2009
Last updated
10/14/2019
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