Individual
MRS. AMANDA MARIE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4270
Mailing address
505 BUCKLAND DR, CHESHIRE, CT 06410-4153
(203) 233-8935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007706
CT
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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