HORIZON FAMILY MEDICINE LLC NPI 1942944582

NPI Information

HORIZON FAMILY MEDICINE LLC is a family nurse practitioner in East Hartford, CT. HORIZON FAMILY MEDICINE LLC NPI is 1942944582. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Horizon Family Medicine.

The provider's business location address is:

477 CONNECTICUT BLVD STE 119
EAST HARTFORD, CT
ZIP 06108-228
Phone: (475) 320-8111

The provider's authorized official is Stephanie Pettingle .
The authorized official title is Aprn and has the following contact phone number (860) 216-9976.

The CLIA number assigned to this NPI record is 07D2272636 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 12/17/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.