| NPI | 1770392003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE VINCENT Family Nurse Practitioner 203-528-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-02 |