Individual provider · Type 1 NPI

Amy Elizabeth Wisnewski, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1063936177 Active

Practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

97 Simpson Rd
Pelham, NH 03076-2237

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9287 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063936177

Amy Elizabeth Wisnewski, PA-C's National Provider Identifier is 1063936177, issued on Jul 31, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Aug 20, 2025.