Individual provider · Type 1 NPI
Amanda Shackell, APRN
Psychiatric/Mental Health Nurse Practitioner · New Haven, CT
NPI number
1295982429
Active
Practice location
1 Long Wharf Dr
New Haven, CT 06511-5991
Fax (203) 781-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 002620 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295982429
Amanda Shackell, APRN's National Provider Identifier is 1295982429, issued on Aug 19, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Haven, CT. The record was last updated on Jan 24, 2022.