Active NPIIndividual providerSole proprietor

Ms. Amber N Vaculin, PA

Physician Assistant, Medical in New Britain, Connecticut

NPI Number1790114296
Practice location
100 Grand St, New Britain, CT 06052-2016
Fax
860-224-5742
Last updated
February 7, 2020

Amber Nicole Vaculin is a Physician Assistant, Medical based in New Britain, CT. Amber Nicole Vaculin practices in New Britain, CT and has the professional credentials of PA. The NPI Number for Amber Nicole Vaculin is 1790114296 and holds a License No. PA1101 (TX). The current practice location address for Amber Nicole Vaculin is 100 Grand St, New Britain, CT 06052-2016 and can be reached out via phone at 860-224-5242 and via fax at 860-224-5742.

Provider Profile Details

NPI Number
1790114296
Provider Name
Amber Nicole Vaculin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Grand St, New Britain, CT 06052-2016
Phone Number
860-224-5242
Fax Number
860-224-5742
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2013
Last Update Date
February 7, 2020
Certification Date
February 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Grand St
New Britain, CT 06052-2016
Zip
06052-2016
Phone Number
860-224-5242
Fax Number
860-224-5742
New Britain, CT 06052Get directions →

Provider Business Mailing Address Details

Address
100 Grand St
New Britain, CT 06052-2016
City
New Britain
State
CT
Zip
06052-2016
Phone Number
860-224-5242

License Information

License Number (1)
PA1101
License State (1)
TX
Taxonomy (1)
Special Hospital · 284300000X
License Number (2)
4686
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Ms. Amber N Vaculin, PA?

The NPI number of Ms. Amber N Vaculin, PA is 1790114296. It was assigned on November 5, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Amber N Vaculin, PA?

Ms. Amber N Vaculin, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in TX under license number PA1101.

Where does Ms. Amber N Vaculin, PA practice?

The practice location is 100 Grand St, New Britain, CT 06052-2016. The office can be reached at 860-224-5242 (phone) or 860-224-5742 (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 1790114296 directly on the NPPES registry website.

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