Individual provider · Type 1 NPI

Amanda B. Gordon, N.P.

Nurse Practitioner · Boston, MA

NPI number 1053724872 Active

Practice location

55 Fruit St, Yawkey 9E
Boston, MA 02114-2621

Fax (617) 724-8769

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2288719 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053724872

Amanda B. Gordon, N.P.'s National Provider Identifier is 1053724872, issued on Jun 9, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Feb 9, 2016.