Individual
AMANDA J. FUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
27 NEW DURHAM RD, ALTON, NH 03809-4917
(603) 875-6151
Mailing address
27 NEW DURHAM RD, ALTON, NH 03809-4917
(603) 875-6151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
057371-23
NH
363LF0000X
Family Nurse Practitioner
Primary
057371-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057371-23
APRN MEDICAL LICENSE
NH
Enumeration date
08/20/2018
Last updated
04/16/2021
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