Individual
MRS. AMANDA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
16 SHERIDAN ST, HAVERHILL, MA 01830-3319
(781) 307-7016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2273295
MA
363LA2200X
Adult Health Nurse Practitioner
AG03170035
MA
363LG0600X
Gerontology Nurse Practitioner
AG03170035
MA
Other
Enumeration date
04/28/2017
Last updated
10/28/2018
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