Provider Demographics
NPI:1730862087
Name:TROIANO, AMANDA VERONICA (CNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:VERONICA
Last Name:TROIANO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GRAFTON CMN
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1534
Mailing Address - Country:US
Mailing Address - Phone:508-466-7120
Mailing Address - Fax:774-293-1288
Practice Address - Street 1:28 GRAFTON CMN
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1534
Practice Address - Country:US
Practice Address - Phone:508-466-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2326174363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner