Individual
DR. AMANDA CONSTANCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, MSN, PHCNS
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
(617) 740-8064
Mailing address
158 MAGAZINE ST, APT. 6, CAMBRIDGE, MA 02139-4770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN282314
MA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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