Individual
MS. AMBER LAUREN WACHTARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 972-5400
Mailing address
1 GLASTONBURY PL UNIT 301, GLASTONBURY, CT 06033-4424
(860) 202-2892
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9733
CT
Other
Enumeration date
04/23/2021
Last updated
07/06/2021
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