Individual
MS. AMY A CUNDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
(508) 860-1000
Mailing address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141381
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141381
NURSING LICENSE
MA
Enumeration date
08/17/2010
Last updated
08/17/2010
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