Healthcare Provider Details

I. General information

NPI: 1992338511
Provider Name (Legal Business Name): AMANDA HILL CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA ROSE POUSSARD

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

35 SUNNYSIDE PARK
SAUGUS MA
01906-3062
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN287902
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN2351351
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: