Active NPIIndividual providerSole proprietor

Amber F Wild, BFA

Specialist/Technologist, Other in New Hartford, Connecticut

NPI Number1326724378
Practice location
280 Main St # C, New Hartford, CT 06057-2748
Fax
—
Last updated
June 26, 2023

Amber Fae Wild is a Specialist/Technologist, Other based in New Hartford, CT. Amber Fae Wild practices in New Hartford, CT and has the professional credentials of BFA. The NPI Number for Amber Fae Wild is 1326724378 and holds a License No. TAT.000490 (CT). The current practice location address for Amber Fae Wild is 280 Main St # C, New Hartford, CT 06057-2748 and can be reached out via phone at 860-251-9404.

Provider Profile Details

NPI Number
1326724378
Provider Name
Amber Fae Wild
Credential
BFA
Provider Entity Type
Individual
Gender
Female
Address
280 Main St # C, New Hartford, CT 06057-2748
Phone Number
860-251-9404
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2023
Last Update Date
June 26, 2023
Certification Date
June 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 Main St # C
New Hartford, CT 06057-2748
Zip
06057-2748
Phone Number
860-251-9404
New Hartford, CT 06057Get directions →

Provider Business Mailing Address Details

Address
101 Burgoyne Heights RD
New Hartford, CT 06057-2000
City
New Hartford
State
CT
Zip
06057-2000
Phone Number
860-906-4274

License Information

License Number
TAT.000490
License State
CT
Taxonomy
Specialist/Technologist, Other · 246Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amber F Wild, BFA?

The NPI number of Amber F Wild, BFA is 1326724378. It was assigned on June 26, 2023 and is currently active in the NPPES registry.

What is the specialty of Amber F Wild, BFA?

Amber F Wild, BFA is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in CT under license number TAT.000490.

Where does Amber F Wild, BFA practice?

The practice location is 280 Main St # C, New Hartford, CT 06057-2748. The office can be reached at 860-251-9404 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326724378 directly on the NPPES registry website.

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