LIVWELL PAIN MANAGEMENT LLC NPI 1942866793

NPI Information

LIVWELL PAIN MANAGEMENT LLC is a family nurse practitioner in West Haven, CT. LIVWELL PAIN MANAGEMENT LLC NPI is 1942866793. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Na.

The provider's business location address is:

764 CAMPBELL AVE STE F
WEST HAVEN, CT
ZIP 06516-786
Phone: (203) 443-9500
Fax: (203) 902-0509

The provider's authorized official is Kripa Plapetta Damodharan .
The authorized official title is Aprn and has the following contact phone number (203) 443-9500.

The CLIA number assigned to this NPI record is 07D2187230 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/17/2019 and was last updated on 6/30/2023.

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:

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