Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Antonino, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1679012751

Amanda Marie Antonino, APRN is a Nurse Practitioner in Bozrah, Connecticut. Qualified in 2016, 10 years ago. Practices with The William W Backus Hospital, a 247-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

197 Fitchville Rd Apt 5
Bozrah, CT 06334-1135
Phone: (186) 028-7270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 6802 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 6802 (CT)

Record details

NPI number1679012751
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount