Provider Demographics
NPI:1184789422
Name:LYNCH, AMY E (PNP)
Entity type:Individual
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First Name:AMY
Middle Name:E
Last Name:LYNCH
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Gender:F
Credentials:PNP
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Mailing Address - Street 1:ANDOVER PEDIATRICS NPI 1548393176
Mailing Address - Street 2:203 TURNPIKE ST, SUITE 200
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-475-4522
Mailing Address - Fax:978-688-6047
Practice Address - Street 1:ANDOVER PEDIATRICS NPI 1548393176
Practice Address - Street 2:203 TURNPIKE ST, SUITE 200
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-475-4522
Practice Address - Fax:978-688-6047
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2025-02-13
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Provider Licenses
StateLicense IDTaxonomies
MARN217868364SP0200X, 363LP0200X
MA217868364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11016731AMedicaid