Healthcare Provider Details

I. General information

NPI: 1265760599
Provider Name (Legal Business Name): AMY GROSZYK SHEIBER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 WORCESTER RD
FRAMINGHAM MA
01702-5255
US

IV. Provider business mailing address

600 WORCESTER RD STE 301
FRAMINGHAM MA
01702-5316
US

V. Phone/Fax

Practice location:
  • Phone: 508-665-4344
  • Fax: 508-665-4355
Mailing address:
  • Phone: 508-665-4344
  • Fax: 508-665-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN280422
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: