Individual
AMANDA S WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., FNP
Contact information
Practice address
732 HARRISON AVE, PRESTON, 3RD FLOOR, BOSTON, MA 02118-2309
(617) 638-7490
(617) 414-8742
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226423
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702226
—
MA
Enumeration date
05/04/2006
Last updated
10/26/2011
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