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Contact Information

ROBERT J NIVISON, APRN, CRNA
111 FOUNDERS PLZ
#300 C/O IPMS
EAST HARTFORD, CT06108-3212
 Phone: 860-282-4137
 Fax: 860-282-0170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for ROBERT J NIVISON · (Male)

NPI Number 1780607416
Status Active
Credentials APRN, CRNA
Entity Individual
Enumeration date 07/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002454
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
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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