Individual
AMANDA BRENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
850 HARRISON AVE, YACC 3, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN279931
MA
Other
Enumeration date
08/31/2012
Last updated
02/01/2013
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