Individual
AMANDA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1215 BROADWAY, RAYNHAM, MA 02767-1942
(508) 894-0400
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 894-0400
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37708
RI
363LF0000X
Family Nurse Practitioner
Primary
RN2265882
MA
Other
Enumeration date
09/27/2012
Last updated
01/16/2024
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