NPI 1144838384 · live from the CMS NPI Registry
Amanda Rose Bakos, NP
Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1144838384, active.
NPI record
| NPI | 1144838384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 218 Marion St, Boston, MA 02128 |
| Practice phone | 617-635-8372 |
| Mailing address | 224 Court Rd, Winthrop, MA 02152 |
| Enumerated | July 14, 2020 |
| Last updated | July 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 233859 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.