HEADACHE CARE CENTER PLLC NPI 1932605318

NPI Information

NPI: 1932605318
Provider Name: HEADACHE CARE CENTER PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1741 ELLINGTON RD STE 1
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 263-3603
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HEADACHE CARE CENTER PLLC is an adult health nurse practitioner in South Windsor, CT. HEADACHE CARE CENTER PLLC NPI is 1932605318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1741 ELLINGTON RD STE 1
SOUTH WINDSOR, CT
ZIP 06074-720
Phone: (860) 263-3603

The provider's authorized official is Gretchen T. Michaelson .
The authorized official title is Aprn and has the following contact phone number (860) 263-3603.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	003107	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500001383	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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