Individual
AMANDA CIAMPINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WALL STREET, MADISON, CT 06443-3477
(203) 631-5199
Mailing address
17 WALL ST, MADISON, CT 06443-3122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
078982
CT
363LF0000X
Family Nurse Practitioner
Primary
6782
CT
Other
Enumeration date
11/30/2016
Last updated
04/27/2017
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