Healthcare Provider Details

I. General information

NPI: 1265884720
Provider Name (Legal Business Name): AMANDA LYNN FRANCESE ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINE WEST PLZ STE 101
ALBANY NY
12205-5531
US

IV. Provider business mailing address

PO BOX 14890
ALBANY NY
12212-4890
US

V. Phone/Fax

Practice location:
  • Phone: 518-464-9999
  • Fax: 518-464-9650
Mailing address:
  • Phone: 518-525-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number307738
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: