Individual
AMANDA RUSCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
40 MADISON AVE, WALLINGFORD, CT 06492-5120
(203) 415-3756
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.012614
CT
363LF0000X
Family Nurse Practitioner
12614
CT
Other
Enumeration date
11/29/2023
Last updated
01/13/2025
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