Active NPIIndividual provider

Amanda L Shelby, APRN

Nurse Practitioner, Family in Groton, Connecticut

NPI Number1982204715
Practice location
915 Poquonnock RD, Groton, CT 06340-4257
Fax
—
Last updated
December 10, 2020

Amanda L Shelby is a Nurse Practitioner, Family based in Groton, CT. Amanda L Shelby practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Amanda L Shelby is 1982204715 and holds a License No. 137290 (CT). The current practice location address for Amanda L Shelby is 915 Poquonnock RD, Groton, CT 06340-4257 and can be reached out via phone at 860-446-0144.

Provider Profile Details

NPI Number
1982204715
Provider Name
Amanda L Shelby
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
915 Poquonnock RD, Groton, CT 06340-4257
Phone Number
860-446-0144
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2020
Last Update Date
December 10, 2020
Certification Date
December 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
915 Poquonnock RD
Groton, CT 06340-4257
City
Groton
Zip
06340-4257
Phone Number
860-446-0144
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
110 Old Kent RD N
Tolland, CT 06084-3328
City
Tolland
State
CT
Zip
06084-3328

License Information

License Number (1)
137290
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2309851
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
9210
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · 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 Amanda L Shelby, APRN?

The NPI number of Amanda L Shelby, APRN is 1982204715. It was assigned on October 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda L Shelby, APRN?

Amanda L Shelby, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 137290.

Where does Amanda L Shelby, APRN practice?

The practice location is 915 Poquonnock RD, Groton, CT 06340-4257. The office can be reached at 860-446-0144 (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 1982204715 directly on the NPPES registry website.

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