Individual
AMANDA COUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
759 CHESTNUT ST RADIOLOGY DEPARTMENT, SPRINGFIELD, MA 01199-0001
(413) 794-4496
Mailing address
759 CHESTNUT ST RADIOLOGY DEPARTMENT, SPRINGFIELD, MA 01199-0001
(413) 794-4496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN250740
MA
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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