Healthcare Provider Details

I. General information

NPI: 1134040066
Provider Name (Legal Business Name): AMANDA DELLECHIAIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 BEAN PORRIDGE HILL RD
WESTMINSTER MA
01473-1121
US

IV. Provider business mailing address

123 BEAN PORRIDGE HILL RD
WESTMINSTER MA
01473-1121
US

V. Phone/Fax

Practice location:
  • Phone: 978-660-5857
  • Fax:
Mailing address:
  • Phone: 978-660-5857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN87831
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: