Active NPIIndividual providerSole proprietor

Amber G Vernacatola

Nurse Practitioner in Old Lyme, Connecticut

NPI Number1770215170
Practice location
12 Flagler Ave, Old Lyme, CT 06371-2429
Fax
—
Last updated
August 1, 2025

Amber Gabriella Vernacatola is a Nurse Practitioner based in Old Lyme, CT. Amber Gabriella Vernacatola practices in Old Lyme, CT. The NPI Number for Amber Gabriella Vernacatola is 1770215170 and holds a License No. 143750 (CT). The current practice location address for Amber Gabriella Vernacatola is 12 Flagler Ave, Old Lyme, CT 06371-2429 and can be reached out via phone at 860-885-4094.

Provider Profile Details

NPI Number
1770215170
Provider Name
Amber Gabriella Vernacatola
Provider Entity Type
Individual
Gender
Female
Address
12 Flagler Ave, Old Lyme, CT 06371-2429
Phone Number
860-885-4094
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2022
Last Update Date
August 1, 2025
Certification Date
August 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Flagler Ave
Old Lyme, CT 06371-2429
Zip
06371-2429
Phone Number
860-885-4094
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
12 Flagler Ave
Old Lyme, CT 06371-2429
City
Old Lyme
State
CT
Zip
06371-2429

License Information

License Number (1)
143750
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
14701
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 G Vernacatola?

The NPI number of Amber G Vernacatola is 1770215170. It was assigned on June 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Amber G Vernacatola?

Amber G Vernacatola is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 143750.

Where does Amber G Vernacatola practice?

The practice location is 12 Flagler Ave, Old Lyme, CT 06371-2429. The office can be reached at 860-885-4094 (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 1770215170 directly on the NPPES registry website.

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