Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LYDIA ROUSSEAU, PA-C
Active Sole ProprietorAMANDA LYDIA ROUSSEAU, PA-C is a Physician Assistant healthcare provider located in FARMINGTON, Connecticut. NPI 1316626740 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARMINGTON, CT
Registration Details
- NPI Number
- 1316626740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2023 (3.0841047615529 yrs)
- Last Updated
- Oct 31, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
263 FARMINGTON AVEFARMINGTON, CT, 060301814Browse CT providers · Browse ZIP 06030
- Phone
- 8606792000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DAVID MALCHMAN | PA | 1881692085 |
| JUDE J ADE | PA | 1508865585 |
| LISA A MALONE | PA-C | 1740263409 |
| KIM A STANOWSKI | PA-C | 1346224771 |
| COREY A CHAMPEAU | P.A. | 1992756308 |
| MR. THOMAS VINCENT GOCKE III | PA-C | 1508819749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.