Individual
MARY CATHERINE D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 WESTCOTT RD, DANIELSON, CT 06239-2929
(860) 774-7179
(860) 779-6526
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1587
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5515
CT
363LF0000X
Family Nurse Practitioner
005515
CT
363LP2300X
Primary Care Nurse Practitioner
005515
CT
Other
Enumeration date
09/11/2013
Last updated
04/24/2019
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