Amanda Drummond Conley, P.N.P.

Individual provider Active NPI Pediatric Nurse Practitioner · Wareham, MA

NPI 1417263989 · NPPES record last updated Aug 23, 2010

Key facts

NPI
1417263989
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
RN2266228 (MA)
Practice address
53 Marion Rd
Wareham, MA 02571-1406
Phone
(508) 295-8622
Fax
(508) 295-4909
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2266228MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wareham Pediatric Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aconley7108@direct.chppoc.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2266228 MA Yes

Addresses

Primary practice location

53 Marion Rd
Wareham, MA 02571-1406

Mailing address

53 Marion Rd
Wareham, MA 02571-1406
Phone (508) 295-8622

Other names

  • Amanda Selby Drummond Former name

Other providers in Wareham, MA

All providers in Wareham, MA · Pediatric Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.