MEDICARE: ANNE L VAILLANT PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	206006	MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	206006	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033114632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE L VAILLANT PMHNP-BC

Provider Business Mailing Address
First Line	:	17 RESEARCH DRIVE
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002
Country	:	US
Telephone Number	:	413-549-8400
Fax Number	:	413-549-8409

Provider Business Practice Location Address
First Line	:	17 RESEARCH DRIVE
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002
Country	:	US
Telephone Number	:	413-549-8400
Fax Number	:	413-549-8409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/28/2022

Similar Medicare Providers

1275769242 — GAZIT CHAYA NKOSI MA, CCC-SLP
Practice Location Address:

424 POTWINE LN
AMHERST, MA
01002-3042

Practice Phone: 413-336-4304
Practice Fax: 413-336-4304

1164094678 — ALLEN M BENZENHAFER
Practice Location Address:

31 HALL DR STE B
AMHERST, MA
01002-2751

Practice Phone: 413-253-9505
Practice Fax:

1467305029 — BETHANY HAMILTON FNP-BC
Practice Location Address:

31 HALL DR
AMHERST, MA
01002-2751

Practice Phone: 413-256-8561
Practice Fax: 866-644-0869

1518396993 — CICELY WANNAMAKER LCSW
Practice Location Address:

150 FEARING ST STE 25
AMHERST, MA
01002-1942

Practice Phone: 413-239-0983
Practice Fax: 413-895-5532

1467455352 — DR. ROBERT LEE KANE D.C.
Practice Location Address:

228 TRIANGLE ST , STE 4
AMHERST, MA
01002-2169

Practice Phone: 413-549-1500
Practice Fax: 413-549-7535

1083612345 — DR. ANNE C WEAVER M.D.
Practice Location Address:

29 COTTAGE ST , SUITE C
AMHERST, MA
01002-2172

Practice Phone: 413-549-8888
Practice Fax: 413-549-8886

Directions to “ ANNE L VAILLANT PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.