Provider Demographics
NPI:1043410590
Name:MCSWEENEY, AMANDA BREED (CNM)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:BREED
Last Name:MCSWEENEY
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:99 NORMANDY AVE
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1016
Mailing Address - Country:US
Mailing Address - Phone:781-893-5550
Mailing Address - Fax:781-893-0448
Practice Address - Street 1:355 WAVERLEY OAKS RD
Practice Address - Street 2:SUITE 275
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8474
Practice Address - Country:US
Practice Address - Phone:781-893-5550
Practice Address - Fax:781-893-0448
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
VT1010027372367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife