MS. AMBER NICOLE VACULIN PA NPI 1790114296

NPI Information

NPI: 1790114296
Provider Name: MS. AMBER NICOLE VACULIN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
100 GRAND ST
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 224-5242
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MS. Amber Nicole Vaculin, PA is a medical physician assistant in New Britain, CT with 11 years of experience. MS. Amber Nicole Vaculin, PA NPI is 1790114296. 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:

100 GRAND ST
NEW BRITAIN, CT
ZIP 06052-016
Phone: (860) 224-5242
Fax: (860) 224-5742

The NPI 1790114296 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 11/5/2013 and was last updated on 2/7/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	284300000X	Special Hospital		PA1101	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	4686	CONNECTICUT	Yes

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

NPI Synchronization or Removal

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