Shelby, Amanda L

Shelby, Amanda L is an individual health care provider with primary practice located at 915 Poquonnock Rd , Groton CT 06340-4257. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shelby, Amanda L can be contacted via phone (860) 446-0144.

Contact Information

Primary practice address
915 Poquonnock Rd Groton CT 06340-4257
Phone: (860) 446-0144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 137290 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X RN2309851 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9210 Connecticut

Profile Details

NPI number 1982204715
LBN Legal business name Shelby, Amanda L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2020
Last updated Dec 10th, 2020 - about 6 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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