Individual
AMY MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 CAMBRIDGE ST FL 14, BOSTON, MA 02114-2509
(508) 542-6986
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
234155
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN234155
MA
Other
Enumeration date
08/06/2015
Last updated
09/18/2024
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