MS. AMANDA MARIE SWAN (NPI# 1043321540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043321540 |
| Entity Type | Individual |
| Full Name | MS. AMANDA MARIE SWAN |
| Credential | NP |
| Practice Address |
122 Maple St Bristol CT 06010-5093 |
| Mailing Address |
33 Harmund Pl Wethersfield CT 06109-1209 |
| Practice Telephone | 8605831800 |
| Mailing Telephone | 8606706626 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003762 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
003762 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 363LW0102X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580299 | Amanda Swan | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2010-11-01 |
| Street Address |
122 MAPLE ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992271852 | Vanessa R Biondi | Naturopath | 122 Maple St, Bristol, CT 06010-5093 | 2018-10-18 |
| 1639221385 | Judy K Morris | Advanced Practice Midwife | 122 Maple St, Bristol, CT 06010-5038 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1144306242 | Iris Stendig-raskin | Nurse Practitioner | 721 Veterans Hwy, Bristol, PA 19007-2506 | 2006-10-31 |
| 1477556397 | Cynthia Mcglothlin | Nurse Practitioner | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414905 | Jessica Kiback | Nurse Practitioner | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | 2019-02-21 |
| 1952833394 | Kulwinder Nicole Bajwa | Nurse Practitioner | 1075 Asylum Ave Fl 1, Hartford, CT 06105-2455 | 2017-04-03 |
| 1073977591 | Megan Monteiro | Nurse Practitioner | 120 Park Lane Rd # 202, New Milford, CT 06776-2444 | 2016-04-11 |
| 1578962528 | Chloe Quinn | Nurse Practitioner | 1030 New Britain Avenue, West Hartford, CT 06110-2261 | 2014-08-15 |
| 1578985032 | Cynthia A. Ely I | Nurse Practitioner | 30 Deepwood Rd, Wilton, CT 06897-4201 | 2014-01-16 |
| 1578775953 | Lorna Cassidy Aliperti | Nurse Practitioner | 236 Stamford Ave, Stamford, CT 06902-8233 | 2007-05-05 |
| 1760502397 | Kristen Maria Stehle | Nurse Practitioner | 4 Shaws Cv Ste 105, New London, CT 06320-4956 | 2007-03-29 |
| 1164446878 | Patricia A Labowsky | Nurse Practitioner | 415 Howe Ave, Shelton, CT 06484-3166 | 2006-07-26 |
| 1164458386 | Shawn Polizzi | Nurse Practitioner | 1090 Main St, Branford, CT 06405-3716 | 2006-06-23 |
| 1710943444 | Janet Marie Fischer | Nurse Practitioner | 105 West Rd, Ellington, CT 06029-5700 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. AMANDA MARIE SWAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.