National Provider Identifier Database

NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC
Gerontology


Contact Information

NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC
1 REGENCY DR STE 309
BLOOMFIELD, CT06002-2310
Phone: 860-836-2383
Fax:
Website:
Specialty Taxonomy Code
* Gerontology 363LG0600X

* Indicates primary specialty

NPI Profile & details for NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC

NPI Number 1811642309
Legal business name
LBN
NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC
Authorized official CHENA MCPHERSON - (OWNER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 02/14/2022
Last updated 02/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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