| Amanda Davis, CNM | |
|
280 Union St, Lynn Women's Health, Lynn, MA 01901-1353 | |
| (781) 596-3800 | |
| (781) 596-3830 |
| Full Name | Amanda Davis |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 280 Union St, Lynn, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295937308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0102X | Registered Nurse - Maternal Newborn | 239226 (Massachusetts) | Secondary |
| 367A00000X | Advanced Practice Midwife | 239226 (Massachusetts) | Primary |
| Entity Name | Brigham & Womens Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
| Entity Name | Codman Square Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | Boston University Obstetrics And Gynecology Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459568 PECOS PAC ID: 1456323153 Enrollment ID: O20070525000149 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Davis, CNM 280 Union St, Lynn Women's Health, Lynn, MA 01901-1353 Ph: (781) 596-3800 | Amanda Davis, CNM 280 Union St, Lynn Women's Health, Lynn, MA 01901-1353 Ph: (781) 596-3800 |
Christina Fusco, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-581-3900 | |
Reagan A. Crowley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-581-3900 Fax: 781-598-8126 |