Individual
AMANDA LYNN SUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
570 BALDWINVILLE RD, BALDWINVILLE, MA 01436-1351
(978) 407-4328
Mailing address
570 BALDWINVILLE RD., BALDWINVILLE, MA 01436
(978) 939-2133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2279847
MA
363LF0000X
Family Nurse Practitioner
Primary
F02220726
MA
Other
Enumeration date
03/23/2021
Last updated
06/21/2022
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