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Contact Information

NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC
1 REGENCY DR STE 309
BLOOMFIELD, CT06002-2310
 Phone: 860-836-2383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC · (Female)

NPI # 1811642309
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2022
Last updated 02/14/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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