Individual
ANDEY AMATA-KYNVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CNP, AGNP
Contact information
Practice address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(888) 522-2199
Mailing address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(888) 522-2199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209517
MA
363LA2200X
Adult Health Nurse Practitioner
RN209517
MA
363LG0600X
Gerontology Nurse Practitioner
RN209517
MA
363LP2300X
Primary Care Nurse Practitioner
RN209517
MA
Other
Enumeration date
01/23/2020
Last updated
10/24/2024
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