Individual
AMY KOLACZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
631 S QUAKER LN, WEST HARTFORD, CT 06110-1026
(860) 233-5133
Mailing address
7 MINNIE LN, WETHERSFIELD, CT 06109-3997
(860) 463-6412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8368
CT
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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