Individual provider · Type 1 NPI

Amber Lauren Wachtarz, DNP

Gerontology Nurse Practitioner · Bloomfield, CT

NPI number 1689256190 Active

Practice location

711 Cottage Grove Rd
Bloomfield, CT 06002-3060

Mailing address

1 Glastonbury Pl Unit 301
Glastonbury, CT 06033-4424

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X9733 (CT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1689256190

Amber Lauren Wachtarz, DNP's National Provider Identifier is 1689256190, issued on Apr 23, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bloomfield, CT. The record was last updated on Jul 6, 2021.