Provider Demographics
NPI:1902520414
Name:LOCONTE, AMANDA MICHELLE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MICHELLE
Last Name:LOCONTE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GREGORY ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1510
Mailing Address - Country:US
Mailing Address - Phone:978-716-1183
Mailing Address - Fax:978-304-4503
Practice Address - Street 1:33 GREGORY ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-1510
Practice Address - Country:US
Practice Address - Phone:978-716-1183
Practice Address - Fax:978-304-4503
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2270648163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse