Active NPIIndividual provider

Amanda L Liberty, PMHNP

Nurse Practitioner, Psych/Mental Health in Leominster, Massachusetts

NPI Number1104312875
Practice location
1069 Central St, Leominster, MA 01453-4805
Fax
978-798-1366
Last updated
March 10, 2023

Amanda Leigh Liberty is a Nurse Practitioner, Psych/Mental Health based in Leominster, MA. Amanda Leigh Liberty practices in Leominster, MA and has the professional credentials of PMHNP. The NPI Number for Amanda Leigh Liberty is 1104312875 and holds a License No. RN2313229 (MA). The current practice location address for Amanda Leigh Liberty is 1069 Central St, Leominster, MA 01453-4805 and can be reached out via phone at 978-728-4957 and via fax at 978-798-1366.

Provider Profile Details

NPI Number
1104312875
Provider Name
Amanda Leigh Liberty
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1069 Central St, Leominster, MA 01453-4805
Phone Number
978-728-4957
Fax Number
978-798-1366
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Other Names
Amanda Leigh Ortiz, PMHNP (Former Name)
Provider Enumeration Date
July 6, 2018
Last Update Date
March 10, 2023
Certification Date
March 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1069 Central St
Leominster, MA 01453-4805
Zip
01453-4805
Phone Number
978-728-4957
Fax Number
978-798-1366
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
1069 Central St
Leominster, MA 01453-4805
City
Leominster
State
MA
Zip
01453-4805
Phone Number
978-728-4957
Fax Number
978-798-1366

License Information

License Number
RN2313229
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda L Liberty, PMHNP?

The NPI number of Amanda L Liberty, PMHNP is 1104312875. It was assigned on July 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Amanda L Liberty, PMHNP?

Amanda L Liberty, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2313229.

Where does Amanda L Liberty, PMHNP practice?

The practice location is 1069 Central St, Leominster, MA 01453-4805. The office can be reached at 978-728-4957 (phone) or 978-798-1366 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104312875 directly on the NPPES registry website.

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