Individual
AMANDA B. LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 LYNDHURST ST, DORCHESTER CENTER, MA 02124-2214
(617) 825-6364
Mailing address
52 LYNDHURST ST, DORCHESTER CENTER, MA 02124-2214
(617) 825-6364
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
216187
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704903
MA HEALTH PROVIDER NUMBER
MA
Enumeration date
03/27/2007
Last updated
07/08/2007
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