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Ms. Amanda Shackell, APRN
Psychiatric/Mental Health Nurse Practitioner in New Haven, Connecticut
NPI 1295982429

Amanda Shackell is a Psychiatric/Mental Health Nurse Practitioner based in New Haven, CT and is specialized in Psychiatric/Mental Health. Amanda Shackell practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Amanda Shackell is 1295982429 and holds a License No. 002620 (Connecticut).

The current practice location address for Amanda Shackell is 1 Long Wharf Dr, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624. You can also correspond with Amanda Shackell through the mailing address at 1 LONG WHARF DR, NEW HAVEN, CT - 06511-5991 (mailing address contact number: 203-781-4600).

Location: 1 Long Wharf Dr, New Haven, CT, 06511-5991
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Provider Profile Details
NPI Number
1295982429
Provider Name
Amanda Shackell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Long Wharf Dr, New Haven, CT, 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004217099 05 CT
008023170 05 CT
004082286 05 CT
008024427 05 CT
008003745 05 CT
008022622 05 CT
008037391 05 CT
008039745 05 CT
500000315 05 CT
C01033 01 CT MEDICARE IDENTIFICATION NUMBER
008022626 05 CT
004041000 05 CT
004082260 05 CT
008001325 05 CT
008042339 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
002620 (Connecticut)
Definition
Definition to come...
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