Edison, Amanda Catherine

Edison, Amanda Catherine is an sole proprietor health care provider with primary practice located at 157 Stockade Rd , South Glastonbury CT 06073-2118. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Edison, Amanda Catherine can be contacted via phone (860) 331-0060.

Contact Information

Primary practice address
157 Stockade Rd South Glastonbury CT 06073-2118
Phone: (860) 331-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5583 Connecticut

Profile Details

NPI number 1518623321
LBN Legal business name Edison, Amanda Catherine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2021
Last updated Feb 23rd, 2022 - about 3 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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