Individual
AMANDA ROSE BISSONNETTE MATTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2639 MAIN ST, GLASTONBURY, CT 06033-2023
(860) 659-1329
Mailing address
2639 MAIN ST, GLASTONBURY, CT 06033-2023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107633
CT
363L00000X
Nurse Practitioner
Primary
8904
CT
Other
Enumeration date
06/17/2020
Last updated
10/05/2020
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