Amanda Lynn Boutin, FNP-C | |
103 Providence Hwy, Walpole, MA 02032 | |
(781) 255-0500 | |
Not Available |
Full Name | Amanda Lynn Boutin |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 103 Providence Hwy, Walpole, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205691029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN2343792 (Massachusetts) | Primary |
Entity Name | Woonsocket Urgent Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881929586 PECOS PAC ID: 1951305168 Enrollment ID: O20100716000220 |
Entity Name | Woonsocket Urgent Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437628385 PECOS PAC ID: 1951305168 Enrollment ID: O20190214001977 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lynn Boutin, FNP-C 751 Lansdowne Way Apt 206, Norwood, MA 02062-2927 Ph: (908) 966-1732 | Amanda Lynn Boutin, FNP-C 103 Providence Hwy, Walpole, MA 02032 Ph: (781) 255-0500 |
Mrs. Casey Tanya Mcgrath, RN, BSN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 | |
Marybeth Bosak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton St Apt B, Walpole, MA 02081 Phone: 508-596-8760 | |
Kathryn Elizabeth Ventola, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 | |
Courtney Healy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 Fax: 508-660-1209 | |
Matthew Peculis, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Providence Hwy Unit 167, Walpole, MA 02081 Phone: 508-660-7949 | |
Melissa E Eaton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 |