Provider Demographics
NPI:1952092439
Name:AMPARO, DENNY R (LPN)
Entity Type:Individual
Prefix:MISS
First Name:DENNY
Middle Name:R
Last Name:AMPARO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:DENNY
Other - Middle Name:R
Other - Last Name:AMPARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:523 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2707
Mailing Address - Country:US
Mailing Address - Phone:203-600-8293
Mailing Address - Fax:
Practice Address - Street 1:523 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2707
Practice Address - Country:US
Practice Address - Phone:203-600-8293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT32194164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse