Swan, Amanda Marie

Swan, Amanda Marie is an individual health care provider with primary practice located at 49 Welles St Ste 215 , Glastonbury CT 06033-4205. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Swan, Amanda Marie can be contacted via phone (860) 325-2679.

Contact Information

Primary practice address
49 Welles St Ste 215 Glastonbury CT 06033-4205
Phone: (860) 325-2679
Fax: (860) 316-4064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003762 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 388 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 003762 Connecticut

Profile Details

NPI number 1043321540
LBN Legal business name Swan, Amanda Marie
Credentials APRN, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 30th, 2024 - about last year

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 1043321540 NPPES
Connecticut MEDICAID 363LW0102X

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