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NPI Code Detail

MEDICARE: AMY WALENGA APRN

MEDICARE:   AMY  WALENGA  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner223940MA

General Provider Information

NPI Number : 1336145499
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY WALENGA APRN
Provider Business Mailing Address
First Line : 735 ATTUCKS LN
Second Line :
City : HYANNIS
State : MA
Zip : 02601-1867
Country : US
Telephone Number : 508-778-0300
Fax Number :
Provider Business Practice Location Address
First Line : 735 ATTUCKS LN
Second Line :
City : HYANNIS
State : MA
Zip : 02601-1867
Country : US
Telephone Number : 508-778-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 09/22/2024

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Directions to “ AMY WALENGA APRN” Practice Location

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