Mrs. Amanda Brady Watters Gorman
Lactation Consultant Nurse Practitioner - Pediatrics
8 Hatters Ln
Farmington
, Connecticut 06032-2332
Mrs. Amanda Brady Watters Gorman
Lactation Consultant Nurse Practitioner - Pediatrics
8 Hatters Ln
Farmington
, Connecticut 06032-2332
(844) 364-2618
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About
Features
Specialties
- Lactation Consultant
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Amanda Brady Watters Gorman
- 2113 Highland Ridge Dr
- Phoenix, MD
- Zip : 21131-1217
- Fax : (844) 364-2618
- Phone : (917) 567-5260
Second Address
- Mrs. Amanda Brady Watters Gorman
- 8 Hatters Ln
- Farmington, CT
- Zip : 06032-2332
- Fax : (844) 364-2618
- Phone : (917) 567-5260
Reviews
FAQs
Where did Mrs. Amanda Brady Watters Gorman attend graduate school?
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Where did Mrs. Amanda Brady Watters Gorman do her fellowship?
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What type of doctor is Mrs. Amanda Brady Watters Gorman
In what state does Mrs. Amanda Brady Watters Gorman practice in?
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Is Mrs. Amanda Brady Watters Gorman a sole practitioner?
Is Mrs. Amanda Brady Watters Gorman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | MD | |
| N | 363LP0200X | Nurse Practitioner - Pediatrics | R214487 | MD |
National Provider Identifier
| NPI | 1124309430 |
|---|---|
| Provider Name | Mrs. Amanda Brady Watters Gorman |
| First Address | Phoenix, MD 21131-1217 |
| Second Address | Farmington, CT 06032-2332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2011 |
| Last Update Date | 25/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 092172600 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.