| NPI | 1437043197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA V SCARLETT-GRANT Provider 203-695-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 251E00000X Home Health | |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-09-04 |