Individual
MRS. ANDREA LAUREN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2621 CRANBERRY HWY, WAREHAM, MA 02571-1004
(508) 295-4902
(508) 295-2455
Mailing address
50 ANGELICA AVE, NEW BEDFORD, MA 02745-2246
(508) 994-4652
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN260771
MA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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