Active NPIIndividual provider

Mary C D'Amico, APRN

Nurse Practitioner, Adult Health in Danielson, Connecticut

NPI Number1710312533
Practice location
71 Westcott RD, Danielson, CT 06239-2929
Fax
860-779-6526
Last updated
April 24, 2019

Mary Catherine D'Amico is a Nurse Practitioner, Adult Health based in Danielson, CT. Mary Catherine D'Amico practices in Danielson, CT and has the professional credentials of APRN. The NPI Number for Mary Catherine D'Amico is 1710312533 and holds a License No. 005515 (CT). The current practice location address for Mary Catherine D'Amico is 71 Westcott RD, Danielson, CT 06239-2929 and can be reached out via phone at 860-774-7179 and via fax at 860-779-6526.

Provider Profile Details

NPI Number
1710312533
Provider Name
Mary Catherine D'Amico
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
71 Westcott RD, Danielson, CT 06239-2929
Phone Number
860-774-7179
Fax Number
860-779-6526
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Other Names
Mary Tebo (Former Name)
Provider Enumeration Date
September 11, 2013
Last Update Date
April 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Westcott RD
Danielson, CT 06239-2929
Zip
06239-2929
Phone Number
860-774-7179
Fax Number
860-779-6526
Danielson, CT 06239Get directions →

Provider Business Mailing Address Details

Address
2 Waterside Xing Ste 401
Windsor, CT 06095-1587
City
Windsor
State
CT
Zip
06095-1587
Phone Number
860-731-5522
Fax Number
860-731-5536

License Information

License Number (1)
005515
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
005515
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (3)
5515
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Mary C D'Amico, APRN?

The NPI number of Mary C D'Amico, APRN is 1710312533. It was assigned on September 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Mary C D'Amico, APRN?

Mary C D'Amico, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 005515.

Where does Mary C D'Amico, APRN practice?

The practice location is 71 Westcott RD, Danielson, CT 06239-2929. The office can be reached at 860-774-7179 (phone) or 860-779-6526 (fax).

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 1710312533 directly on the NPPES registry website.

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