Gorman, Amanda Brady Watters

Gorman, Amanda Brady Watters is an individual health care provider with primary practice located at 8 Hatters Ln , Farmington CT 06032-2332. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Gorman, Amanda Brady Watters can be contacted via phone (917) 567-5260.

Contact Information

Primary practice address
8 Hatters Ln Farmington CT 06032-2332
Phone: (917) 567-5260
Fax: (844) 364-2618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R214487 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R214487 Maryland
Other Service Providers / Lactation Consultant, Non-RN 174N00000X Maryland

Profile Details

NPI number 1124309430
LBN Legal business name Gorman, Amanda Brady Watters
Credentials NP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Jan 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124309430 NPPES
Maryland MEDICAID 092172600

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