Provider Demographics
NPI:1407375280
Name:SHEEHAN, AMANDA LYN (PMHNP-BC, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LYN
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LYN
Other - Last Name:BURWOOD (ZIELINSKI)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10 MUZZEY ST STE 9
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5200
Mailing Address - Country:US
Mailing Address - Phone:351-333-0507
Mailing Address - Fax:
Practice Address - Street 1:10 MUZZEY ST STE 9
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5200
Practice Address - Country:US
Practice Address - Phone:351-333-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN280077363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily