| Doctor Name: | MS. AMANDA MARIE SWAN |
| NPI Number: | 1043321540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 003762 |
| Business Practice Address: | 122 Maple St Bristol, CT - 060105093 |
| Business Phone Number: | 8605831800 |
| Business Fax Number: | |
| Mailing Address: | 33 Harmund Pl, WETHERSFIELD |
| State: | CT |
| Postal Code: | 061091209 |
| Phone Number: | 8606706626 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 003762 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |