Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
360 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3163
(203) 361-3490
Mailing address
360 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3163
(203) 361-3490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9286392
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
079158
CT
Other
Enumeration date
01/11/2013
Last updated
03/30/2014
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