| NPI | 1982975686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SMANIK President & CEO 860-928-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |