Provider Demographics
NPI:1386163178
Name:AMES, MARGARET PERKINS (CNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:PERKINS
Last Name:AMES
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Gender:F
Credentials:CNP
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Mailing Address - Street 1:720 HARRISON AVENUE
Mailing Address - Street 2:ENROLLMENT OFFICE DOB 503
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2371
Mailing Address - Country:US
Mailing Address - Phone:617-414-5405
Mailing Address - Fax:617-414-6031
Practice Address - Street 1:801 MASSACHUSETTS AVE
Practice Address - Street 2:CROSSTOWN 6C
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2605
Practice Address - Country:US
Practice Address - Phone:617-414-5951
Practice Address - Fax:617-414-9201
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2019-05-15
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Provider Licenses
StateLicense IDTaxonomies
MA269948363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110128299AMedicaid