Healthcare Provider Details

I. General information

NPI: 1174925721
Provider Name (Legal Business Name): AMANDA MCLAUGHLIN MS, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WORCESTER ST
NORTH GRAFTON MA
01536-1021
US

IV. Provider business mailing address

104 WORCESTER ST
NORTH GRAFTON MA
01536-1021
US

V. Phone/Fax

Practice location:
  • Phone: 508-839-2240
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2288566
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: