MR. ERIC ANTON FEDERER APRN NPI 1174509095

NPI Information

  • NPI: 1174509095
  • Provider Name: MR. ERIC ANTON FEDERER, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 538 LITCHFIELD ST
    TORRINGTON, CT
    ZIP 06790
  • Phone: (860) 489-5068

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NPI Details

MR. Eric Anton Federer, APRN is a family nurse practitioner in Torrington, CT. MR. Eric Anton Federer, APRN NPI is 1174509095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

538 LITCHFIELD ST
TORRINGTON, CT
ZIP 06790-669
Phone: (860) 489-5068

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/9/2011.

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
1363LF0000XNurse PractitionerFamily003074CONNECTICUTYes

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
1004243838MEDICAIDCONNECTICUT

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: 3/30/2025

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