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Individual

ANDRA LEE MCKENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 GODDARD AVE, AMESBURY, MA 01913-3596
(978) 388-1400
Mailing address
2 GODDARD AVE, AMESBURY, MA 01913-3596
(978) 388-1400
(978) 388-1401

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2267653
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2267653
MA

Other

Enumeration date
07/08/2020
Last updated
02/07/2023
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