Amanda Provost, RN
NPI #1720733355 in Shirley, Massachusetts
Provider Information
- NPI Number
- 1720733355
- Entity Type
- Individual
- Name
- Amanda Provost, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 12B SQUANNACOOK RD
- City
- Shirley
- State
- Massachusetts
- ZIP Code
- 01464-2348
- Phone
- (978) 870-2781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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