Amanda Vickery is a Adult Health in Boston, Massachusetts. Amanda Vickery practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Amanda Vickery is 1073617528. The last update date is 2007-07-08.
Amanda Vickery's current location address is 55 Fruit St Mgh, Boston, Massachusetts. You can contact this provider via phone number 6177248810. The mailing address for Amanda Vickery is 55 Fruit St Mgh, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Vickery |
|---|---|
| Address | 55 Fruit St Mgh, Boston, Massachusetts |
| Phone Number | 6177248810 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1073617528 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit St Mgh |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2114 |
| Phone Number | 6177248810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 195282 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 357090 | MA | -- | |
| NP2897 | MA | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Amanda Vickery by the Centers for Medicare & Medicaid Services?
The Amanda Vickery has been issued the NPI (National Provider Identifier) 1073617528. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amanda Vickery is physically located?
The Amanda Vickery is situated at the following address: 55 Fruit St Mgh, Boston, MA 2114.
What is Amanda Vickery's area of expertise and its corresponding taxonomy classification?
The Amanda Vickery's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073617528 to Amanda Vickery?
The Centers for Medicare & Medicaid Services originally issued the 1073617528 to Amanda Vickery on 2006-09-12.
When was the information regarding Amanda Vickery most recently updated?
The details pertaining to the Amanda Vickery, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.