NPI 1326724378

Amber Fae Wild, BFA

Practitioner Other Specialist/Technologist New Hartford, CT

Practice location

Address: 280 Main St # C, New Hartford, CT 06057-2748
Phone: (860) 251-9404
Mailing address: 101 Burgoyne Heights Rd, New Hartford, CT 06057-2000

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence TAT.000490 (CT)

Other Specialist/Technologist, Other providers in Connecticut →

Registry record

NPI: 1326724378
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2023
Record last updated: 26 Jun 2023

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.