Individual
AMY L GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
420 SAYBROOK RD STE A, MIDDLETOWN, CT 06457-4747
(860) 636-2010
Mailing address
420 SAYBROOK RD, STE A, MIDDLETOWN, CT 06457-4747
(203) 503-3300
(203) 401-3352
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003708
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128361
—
CT
05
—
004235900
—
CT
05
—
004235918
—
CT
Enumeration date
12/04/2007
Last updated
10/21/2025
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