Amanda Rusczek, FNP-BC
Nurse Practitioner, Family in Wallingford, Connecticut
1790551943- Practice location
- 40 Madison Ave, Wallingford, CT 06492-5120
- Phone
- 203-415-3756
- Fax
- —
- Last updated
- January 13, 2025
Amanda Rusczek is a Nurse Practitioner, Family based in Wallingford, CT. Amanda Rusczek practices in Wallingford, CT and has the professional credentials of FNP-BC. The NPI Number for Amanda Rusczek is 1790551943 and holds a License No. 12614 (CT). The current practice location address for Amanda Rusczek is 40 Madison Ave, Wallingford, CT 06492-5120 and can be reached out via phone at 203-415-3756.
Provider Profile Details
- NPI Number
- 1790551943
- Provider Name
- Amanda Rusczek
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Madison Ave, Wallingford, CT 06492-5120
- Phone Number
- 203-415-3756
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2023
- Last Update Date
- January 13, 2025
- Certification Date
- January 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Madison Ave
Wallingford, CT 06492-5120 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-5120
- Phone Number
- 203-415-3756
Provider Business Mailing Address Details
- Address
- 1450 Chapel St
New Haven, CT 06511-4405 - City
- New Haven
- State
- CT
- Zip
- 06511-4405
License Information
- License Number (1)
- 12614
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 12.012614
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Rusczek, FNP-BC?
The NPI number of Amanda Rusczek, FNP-BC is 1790551943. It was assigned on November 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Amanda Rusczek, FNP-BC?
Amanda Rusczek, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12614.
Where does Amanda Rusczek, FNP-BC practice?
The practice location is 40 Madison Ave, Wallingford, CT 06492-5120. The office can be reached at 203-415-3756 (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 1790551943 directly on the NPPES registry website.