IndividualActive
Amy Wisnewski, PA-C
NPI 1063936177 · Surgical Physician Assistant · Boston, MA
Provider details
- NPI number
- 1063936177
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9287 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
75 Francis St
Boston, MA 02115-6106
Phone: (617) 732-5500
Approximate (ZIP-level) locationGet directions
Mailing address
97 Simpson Rd
Pelham, NH 03076-2237
Registry dates
- Enumerated
- 2017-07-31
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.