Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMBER FAE WILD, BFA
Active Sole ProprietorAMBER FAE WILD, BFA is a Specialist/Technologist, Surgical healthcare provider located in NEW HARTFORD, Connecticut. NPI 1326724378 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · NEW HARTFORD, CT
Registration Details
- NPI Number
- 1326724378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2023 (3.1524037349346 yrs)
- Last Updated
- Jun 26, 2023
- License
-
TAT.000490 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
280 MAIN ST # CNEW HARTFORD, CT, 060572748Browse CT providers · Browse ZIP 06057
- Phone
- 8602519404
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
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.