Individual
MS. AMANDA MARIE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
49 WELLES ST STE 215, GLASTONBURY, CT 06033-4205
(860) 325-2679
(860) 316-4064
Mailing address
49 WELLES ST STE 215, GLASTONBURY, CT 06033-4205
(860) 325-2679
(860) 316-4064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
003762
CT
363LW0102X
Women's Health Nurse Practitioner
Primary
003762
CT
367A00000X
Advanced Practice Midwife
388
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LW0102X
—
CT
Enumeration date
08/31/2006
Last updated
04/30/2024
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