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Individual

AMANDA HEALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6100
Mailing address
27 HEBRON LDG, HEBRON, CT 06248-1335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.155566
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
12.013743
CT

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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