Shannon, Amy

Shannon, Amy is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shannon, Amy can be contacted via phone (860) 545-9100.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106-3322
Phone: (860) 545-9100
Fax: (860) 545-9095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 001745 Connecticut

Profile Details

NPI number 1841264322
LBN Legal business name Shannon, Amy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 13th, 2012 - about 12 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 1841264322 NPPES
Connecticut MEDICAID 004197720

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