Individual
AMANDA JANE GUARNIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6515 MAIN ST # 1A, TRUMBULL, CT 06611-1354
(203) 576-1737
Mailing address
53 OLD STAGECOACH RD, REDDING, CT 06896-1911
(401) 301-2585
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10649
CT
363LA2200X
Adult Health Nurse Practitioner
307167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065134
—
OH
05
—
04087674
—
NY
Enumeration date
08/17/2011
Last updated
09/23/2022
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