location
search-icon
person
Amanda Catherine Edison
Surgical Physician Assistant in South Glastonbury, Connecticut
NPI 1518623321

Amanda Catherine Edison is a Surgical Physician Assistant based in South Glastonbury, CT and is specialized in Surgical. Amanda Catherine Edison practices in South Glastonbury, CT. The NPI Number for Amanda Catherine Edison is 1518623321 and holds a License No. (Connecticut).

The current practice location address for Amanda Catherine Edison is 157 Stockade Rd, South Glastonbury, CT and can be reached out via phone at 860-331-0060.

Location: 157 Stockade Rd, South Glastonbury, CT, 06073-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518623321
Provider Name
Amanda Catherine Edison
Credential
Provider Entity Type
Individual
Gender
Female
Address
157 Stockade Rd, South Glastonbury, CT, 06073-2118
Phone Number
860-331-0060
Fax Number
Provider Enumeration Date
11/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
157 Stockade Rd
City
South Glastonbury
State
Connecticut
Zip
06073-2118
Phone Number
860-331-0060
Fax Number
person
Provider Business Mailing Address Details
Address
157 Stockade Rd
City
South Glastonbury
State
Connecticut
Zip
06073-2118
Phone Number
860-331-0060
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5583 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.