Individual
AMANDA KATE MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
11 SOUTH RD STE 120, FARMINGTON, CT 06032-2483
(860) 334-8902
(860) 334-8902
Mailing address
5 OLDE FLATBROOK RD, EAST HAMPTON, CT 06424-1607
(860) 334-8902
(860) 837-5269
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001929
CT
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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