Provider Demographics
NPI:1629320783
Name:SUTTER-FRANCIS, AMANDA (LICAC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SUTTER-FRANCIS
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2766
Mailing Address - Country:US
Mailing Address - Phone:603-324-7509
Mailing Address - Fax:
Practice Address - Street 1:142 MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2766
Practice Address - Country:US
Practice Address - Phone:603-324-7509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH187171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist