Individual provider · Type 1 NPI

Amanda Depina

Student in an Organized Health Care Education/Training Program · Auburndale, MA

NPI number 1124530506 Active

Practice location

1844 Commonwealth Ave
Auburndale, MA 02466-2709

Call (508) 846-6804 Map

Mailing address

19 Oakwood Ave
Randolph, MA 02368-5528

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124530506

Amanda Depina's National Provider Identifier is 1124530506, issued on Oct 25, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Auburndale, MA. The record was last updated on Oct 25, 2017.