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Individual

AMANDA LENDLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM; MSN

Contact information

Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 250-2125
(203) 250-2161
Mailing address
400 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
00206 LNM
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0Q2712
HEALTH NET
01
40CNM0206CT01
ANTHIM BLUE CROSS OF CT
CT
01
707789
CONNECTICARE
01
P2854778
OXFORD HEALTH PLANS
Enumeration date
07/08/2005
Last updated
12/28/2020
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