Provider Demographics
NPI:1760401335
Name:WOOD-FRIEND, AMANDA LEE (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:LEE
Last Name:WOOD-FRIEND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:111 NEW HAMPSHIRE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2864
Mailing Address - Country:US
Mailing Address - Phone:603-319-6223
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:2 DOBSON WAY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4340
Practice Address - Country:US
Practice Address - Phone:603-471-6069
Practice Address - Fax:603-471-6068
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH054091-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3073070Medicaid
NH3073070Medicaid
000051201Medicare PIN