Provider Demographics
NPI:1558645622
Name:DAMICK, COURTNEY EILEEN (FNP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:EILEEN
Last Name:DAMICK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MORRILL PL
Mailing Address - Street 2:LAHEY HEALTH PRIMARY CARE, AMESBURY
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3530
Mailing Address - Country:US
Mailing Address - Phone:978-388-5050
Mailing Address - Fax:978-388-4035
Practice Address - Street 1:24 MORRILL PL
Practice Address - Street 2:LAHEY HEALTH PRIMARY CARE, AMESBURY
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3530
Practice Address - Country:US
Practice Address - Phone:978-388-5050
Practice Address - Fax:978-388-4035
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN264208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily