Healthcare Provider Details

I. General information

NPI: 1366881203
Provider Name (Legal Business Name): FARIHA MAHMOOD QUERESHY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 COTTAGE ST STE B
AMHERST MA
01002-2181
US

IV. Provider business mailing address

526 MAIN ST STE 302
ACTON MA
01720-3310
US

V. Phone/Fax

Practice location:
  • Phone: 413-549-7400
  • Fax: 413-549-7402
Mailing address:
  • Phone: 978-371-7010
  • Fax: 978-371-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2301857
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: