Active NPIIndividual provider

Amanda M Antonino, APRN

Nurse Practitioner, Adult Health in Bozrah, Connecticut

NPI Number1679012751
Practice location
197 Fitchville RD, Apt 5, Bozrah, CT 06334-1135
Fax
—
Last updated
February 22, 2017

Amanda Marie Antonino is a Nurse Practitioner, Adult Health based in Bozrah, CT. Amanda Marie Antonino practices in Bozrah, CT and has the professional credentials of APRN. The NPI Number for Amanda Marie Antonino is 1679012751 and holds a License No. 6802 (CT). The current practice location address for Amanda Marie Antonino is 197 Fitchville RD, Apt 5, Bozrah, CT 06334-1135 and can be reached out via phone at 186-028-7270.

Provider Profile Details

NPI Number
1679012751
Provider Name
Amanda Marie Antonino
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
197 Fitchville RD, Apt 5, Bozrah, CT 06334-1135
Phone Number
186-028-7270
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2017
Last Update Date
February 22, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
197 Fitchville RD
Apt 5
Bozrah, CT 06334-1135
City
Bozrah
Zip
06334-1135
Phone Number
186-028-7270
Bozrah, CT 06334Get directions →

Provider Business Mailing Address Details

Address
197 Fitchville RD
Apt 5
Bozrah, CT 06334-1135
City
Bozrah
State
CT
Zip
06334-1135
Phone Number
186-028-7270

License Information

License Number (1)
6802
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
6802
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X

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 Amanda M Antonino, APRN?

The NPI number of Amanda M Antonino, APRN is 1679012751. It was assigned on February 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Amanda M Antonino, APRN?

Amanda M Antonino, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 6802.

Where does Amanda M Antonino, APRN practice?

The practice location is 197 Fitchville RD, Apt 5, Bozrah, CT 06334-1135. The office can be reached at 186-028-7270 (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 1679012751 directly on the NPPES registry website.

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