Lane, Amy Michelle

Lane, Amy Michelle is an sole proprietor health care provider with primary practice located at 79 Briar Hill Rd , Norwich CT 06360-6440. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lane, Amy Michelle can be contacted via phone (860) 823-0245.

Contact Information

Primary practice address
79 Briar Hill Rd Norwich CT 06360-6440
Phone: (860) 823-0245
Fax: (860) 213-8350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002158 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 002158 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002158 Connecticut

Profile Details

NPI number 1659475911
LBN Legal business name Lane, Amy Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2006
Last updated Oct 11th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659475911 NPPES
Connecticut MEDICAID 004235942

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