Individual
AMY LYN AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LONG POND RD, PLYMOUTH, MA 02360-2663
(800) 865-3384
Mailing address
150 COMMONWEALTH AVE, BOSTON, MA 02116-2901
(617) 323-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2277133
MA
Other
Enumeration date
05/17/2020
Last updated
04/06/2023
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