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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ANNA LIZA ABASTILLAS, APRN
360 14 N MAIN ST
SOUTHINGTON, CT06489
 Phone: 860-621-6759
 Fax: 860-621-0117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANNA LIZA ABASTILLAS · (Female)

NPI Number 1063572014
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/11/2006
Last updated 05/03/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002935
  • CT Medicaid 004241030
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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