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MS. AMANDA MARIE SWAN APRN WHNP-BC NPI 1043321540


NPI Information

NPI: 1043321540
Provider Name: MS. AMANDA MARIE SWAN, APRN, WHNP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
49 WELLES ST STE 207
GLASTONBURY, CT
ZIP 06033
Phone: (860) 325-2679
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MS. Amanda Marie Swan, APRN, WHNP-BC is a women's health nurse practitioner in Glastonbury, CT with 18 years of experience. MS. Amanda Marie Swan, APRN, WHNP-BC NPI is 1043321540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

49 WELLES ST STE 207
GLASTONBURY, CT
ZIP 06033-205
Phone: (860) 325-2679
Fax: (860) 316-4064

The NPI 1043321540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health003762CONNECTICUTNo
2363LW0102XNurse PractitionerWomen's Health003762CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1363LW0102XMEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.