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Contact Information

AMY KOLACZENKO, APRN
631 S QUAKER LN
WEST HARTFORD, CT06110-1026
 Phone: 860-233-5133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY KOLACZENKO · (Female)

NPI # 1699320937
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/05/2019
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 8368
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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