IndividualActive
Amanda Fontaine
NPI 1366302135 · Registered Nurse · Southington, CT
Provider details
- NPI number
- 1366302135
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 213625 (CT)
Specialties & taxonomies
Nursing Service Providers
Practice location
13 Fieldstone Ln
Southington, CT 06489-3942
Phone: (860) 655-8082
Approximate (ZIP-level) locationGet directions
Mailing address
13 Fieldstone Ln
Southington, CT 06489-3942
Registry dates
- Enumerated
- 2025-11-14
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.