Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE ANTONINO, APRN
ActiveAdult Health Nurse Practitioner · BOZRAH, CT
Registration Details
- NPI Number
- 1679012751
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2017 (9.1692531805443 yrs)
- Last Updated
- Feb 22, 2017
- Licenses
-
6802 (CT)6802 (CT)
Practice Information
- Address
-
197 FITCHVILLE RDAPT 5BOZRAH, CT, 063341135Browse CT providers · Browse ZIP 06334
- Phone
- 1860287270
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Gerontological Nurse Practitioner
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.