IndividualActive
Amanda Thibert, NP
NPI 1245208248 · Pediatric Nurse Practitioner · Boston, MA
Provider details
- NPI number
- 1245208248
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 177950 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
133 Brookline Ave
Boston, MA 02215-3904
Phone: (617) 421-1000
Fax: (617) 421-6084
Approximate (ZIP-level) locationGet directions
Mailing address
133 Brookline Ave Fl 9
Boston, MA 02215-3904
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.