Individual
AMY N. CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4 HAZEL AVE, GLENDALE CENTER, NAUGATUCK, CT 06770-4706
(203) 723-1456
(203) 723-0242
Mailing address
200 MIDDLETOWN RD, BERLIN, CT 06037-3242
(860) 828-6671
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
001828
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004200218
—
CT
Enumeration date
06/07/2006
Last updated
07/05/2012
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