Individual
AMY M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 BLATCHLEY AVE, SOUTHINGTON, CT 06489-4101
(860) 637-0745
Mailing address
142 BLATCHLEY AVE, SOUTHINGTON, CT 06489-4101
(860) 637-0745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14773
CT
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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