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Individual

MRS. AMY LYNN MAURICIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
851 MIDDLE ST, FALL RIVER, MA 02721-1778
(508) 324-6800
Mailing address
489 JEFFERSON ST, APT. 1, FALL RIVER, MA 02721-4939
(508) 617-4994

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN273537
MA
390200000X
Student in an Organized Health Care Education/Training Program
MA

Other

Enumeration date
06/25/2013
Last updated
06/23/2014
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