Antonino, Amanda Marie

Antonino, Amanda Marie is an individual health care provider with primary practice located at 197 Fitchville Rd Apt 5, Bozrah CT 06334-1135. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Antonino, Amanda Marie can be contacted via phone (186) 028-7270.

Contact Information

Primary practice address
197 Fitchville Rd Apt 5 Bozrah CT 06334-1135
Phone: (186) 028-7270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 6802 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 6802 Connecticut

Profile Details

NPI number 1679012751
LBN Legal business name Antonino, Amanda Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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