Individual
AMANDA POUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2100
Mailing address
35 SUNNYSIDE PARK, SAUGUS, MA 01906-3062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN287902
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2351351
MA
Other
Enumeration date
02/21/2020
Last updated
05/19/2021
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