Active NPIIndividual provider

Mrs. Amanda Buckley, CNP

Nurse Practitioner in Boston, Massachusetts

NPI Number1871028639
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
October 28, 2018

Amanda Buckley is a Nurse Practitioner based in Boston, MA. Amanda Buckley practices in Boston, MA and has the professional credentials of CNP. The NPI Number for Amanda Buckley is 1871028639 and holds a License No. AG03170035 (MA). The current practice location address for Amanda Buckley is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-2000.

Provider Profile Details

NPI Number
1871028639
Provider Name
Amanda Buckley
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-726-2000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2017
Last Update Date
October 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-726-2000
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
16 Sheridan St
Haverhill, MA 01830-3319
City
Haverhill
State
MA
Zip
01830-3319
Phone Number
781-307-7016

License Information

License Number (1)
AG03170035
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
AG03170035
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
RN2273295
License State (3)
MA
Taxonomy (3)
Nurse Practitioner · 363L00000X · 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 Mrs. Amanda Buckley, CNP?

The NPI number of Mrs. Amanda Buckley, CNP is 1871028639. It was assigned on April 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amanda Buckley, CNP?

Mrs. Amanda Buckley, CNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number AG03170035.

Where does Mrs. Amanda Buckley, CNP practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-2000 (phone).

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 1871028639 directly on the NPPES registry website.

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