NPI 1124309430

Amanda Brady Watters Gorman, NPRN

Practitioner Lactation Consultant (Non-RN) Farmington, CT

Practice location

Address: 8 Hatters Ln, Farmington, CT 06032-2332
Phone: (917) 567-5260
Fax: (844) 364-2618
Mailing address: 2113 Highland Ridge Dr, Phoenix, MD 21131-1217

Registered specialties (3)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence R214487 (MD)

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Pediatric Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence R214487 (MD)

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Registry record

NPI: 1124309430
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2011
Record last updated: 25 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.