Individual
AMANDA M MARCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
95 THOMASTON AVE, WATERBURY, CT 06702-1007
(203) 805-5355
Mailing address
95 THOMASTON AVENUE, WATERBURY, CT 06702
(203) 805-5300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10430
CT
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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