Gerly Amazan-Rodney, FNP
Individual provider Active NPI Family Nurse Practitioner · Rocky Hill, CT
NPI 1386933216 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1386933216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 004127 (CT)
- Practice address
- 400 Capital Blvd FL 3
Rocky Hill, CT 06067-3576 - Phone
- (860) 335-6628
- Fax
- (855) 576-1242
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4127 | CT | MD | Clinical Neuropsychologist |
| 004127 | CT | MD | Family Nurse Practitioner |
| 335388 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004127 | CT | Yes |
| Family Nurse Practitioner | 363LF0000X | 335388 | NY |
Addresses
Primary practice location
400 Capital Blvd FL 3
Rocky Hill, CT 06067-3576
Mailing address
400 Capital Blvd FL 3
Rocky Hill, CT 06067-3576
Phone (860) 335-6628
Other providers in Rocky Hill, CT
- Hilary Elizabeth Almeida
- Alyssa Graham, LCSW LLC
- Jessica Amalfi
- Jadeyn Amara
- Jean Amara
- Ambassador Wheelchair Services
- Samara Ambrosio
- Jeanne Amenta
- American Health NE, LLC
- Amra Muminovic LLC
All providers in Rocky Hill, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.