Individual
MS. ANNE H AMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1834
(860) 928-6541
(860) 963-6450
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000390
CT
367A00000X
Advanced Practice Midwife
000121
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390
CT LICENSE
CT
05
—
004200573
—
CT
01
—
012100
CONNECTICARE
CT
01
—
244029
HEALTHNET
CT
01
—
400CNM121CT01
BC/BS
CT
Enumeration date
10/11/2006
Last updated
11/04/2016
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