Individual
AMANDA PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP
Contact information
Practice address
1850 SUMMER ST, STAMFORD, CT 06905-5015
(203) 561-2336
Mailing address
1850 SUMMER ST, STAMFORD, CT 06905-5015
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12.006242
CT
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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