Individual
AMELIA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE B, BOSTON, MA 02118
(617) 638-8456
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG07190043
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2306656
MA
Other
Enumeration date
11/04/2019
Last updated
12/16/2020
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