Individual
AMANDA MARIE DAHROOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8585
(508) 334-4799
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00461
RI
363L00000X
Nurse Practitioner
Primary
RN2261332
MA
363LA2100X
Acute Care Nurse Practitioner
RN2261332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111775A
—
MA
05
—
AH96816
—
RI
Enumeration date
12/12/2013
Last updated
01/09/2025
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