| NPI | 1679207757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIGEL RODNEY Owner 860-483-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-09-14 |