Provider Demographics
NPI:1245297910
Name:AMARI, PETER JR (NP)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:AMARI
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BOXFORD RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835
Mailing Address - Country:US
Mailing Address - Phone:978-994-9617
Mailing Address - Fax:
Practice Address - Street 1:26 MILLYARD
Practice Address - Street 2:#7
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2429
Practice Address - Country:US
Practice Address - Phone:978-388-3343
Practice Address - Fax:978-388-3342
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228998363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP5105Medicare ID - Type Unspecified