Individual
AMANDA FRENETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 KILEY DR, RANDOLPH, MA 02368-5521
(508) 717-7843
Mailing address
11 KILEY DR, RANDOLPH, MA 02368-5521
(508) 717-7843
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN2312898
MA
163WM0705X
Medical-Surgical Registered Nurse
RN2312898
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2312898
MA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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