Mrs Amanda Brady Watters Gorman, NP, RN is a
Lactation Consultant, Non-rn based in Farmington, Connecticut. Mrs Amanda Brady Watters Gorman is licensed to practice in Maryland (license number ) and her current practice location is
8 Hatters Ln, Farmington, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(917) 567-5260.
NPI number for Mrs Amanda Brady Watters Gorman is 1124309430 and her current mailing address is 2113 Highland Ridge Dr, Phoenix, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124309430.
Provider's Profile
| Full Name | Mrs Amanda Brady Watters Gorman |
|---|
| Gender | Female |
|---|
| Speciality | Lactation Consultant, Non-rn |
|---|
| Location | 8 Hatters Ln, Farmington, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124309430
- Provider Enumeration Date: 08/31/2011
- Last Update Date: 01/25/2022
Medical Identifiers
Medical identifiers for Mrs Amanda Brady Watters Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124309430 | NPI | - | NPPES |
| 092172600 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R214487 (Maryland) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | R214487 (Maryland) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Brady Watters Gorman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Amanda Brady Watters Gorman, NP, RN
2113 Highland Ridge Dr,
Phoenix, MD 21131-1217
Ph: (917) 567-5260 | Mrs Amanda Brady Watters Gorman, NP, RN
8 Hatters Ln,
Farmington, CT 06032-2332
Ph: (917) 567-5260 |
Reviews and Comments