AMANDA L SHELBY APRN NPI 1982204715

NPI Information

NPI: 1982204715
Provider Name: AMANDA L SHELBY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
915 POQUONNOCK RD
GROTON, CT
ZIP 06340
Phone: (860) 446-0144
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Amanda L Shelby, APRN is a family nurse practitioner in Groton, CT with 4 years of experience. Amanda L Shelby, APRN NPI is 1982204715. 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:

915 POQUONNOCK RD
GROTON, CT
ZIP 06340-257
Phone: (860) 446-0144

The NPI 1982204715 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 10/30/2020 and was last updated on 12/10/2020.

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	163W00000X	Registered Nurse		137290	CONNECTICUT	No
2	163W00000X	Registered Nurse		RN2309851	MASSACHUSETTS	No
3	363LF0000X	Nurse Practitioner	Family	9210	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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