Healthcare Provider Details

I. General information

NPI: 1184789422
Provider Name (Legal Business Name): AMY E LYNCH PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 02/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ANDOVER PEDIATRICS NPI 1548393176 203 TURNPIKE ST, SUITE 200
ANDOVER MA
01845
US

IV. Provider business mailing address

ANDOVER PEDIATRICS NPI 1548393176 203 TURNPIKE ST, SUITE 200
ANDOVER MA
01845
US

V. Phone/Fax

Practice location:
  • Phone: 978-475-4522
  • Fax: 978-688-6047
Mailing address:
  • Phone: 978-475-4522
  • Fax: 978-688-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License NumberRN217868
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN217868
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number217868
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: