Amanda Lee Assaf, AGNP-C
Nurse Practitioner, Adult Health in Dartmouth, MA. Individual provider (NPI-1).
NPI number1235474339
StatusActive
Last updated in NPPESSep 20, 2020
Details
- NPI
- 1235474339
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Lee Assaf
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2012
- Certification date
- Sep 15, 2020
- Last updated
- Sep 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | RN275741 | MA | Yes |
| 363L00000X | Nurse Practitioner | AG09200089 | MA |
Practice location
12 Wayne Memorial DrDartmouth, MA 02747-3125
Phone 508-989-8734
Mailing address
12 Wayne Memorial DrDartmouth, MA 02747-3125
Phone 508-989-8734
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