Individual provider · Type 1 NPI

Amanda Katherine Pires

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

NPI number 1689958852 Active

Practice location

1115 W Chestnut St
Brockton, MA 02301-7501

Call (508) 580-4691 Map

Mailing address

691 Cottage St
New Bedford, MA 02740-5546

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS74532706 (MA)

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 1689958852

Amanda Katherine Pires's National Provider Identifier is 1689958852, issued on Oct 5, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Oct 5, 2011.