CT CENTER FOR BLADDER HEALTH LLC NPI 1174886188

NPI Information

NPI: 1174886188
Provider Name: CT CENTER FOR BLADDER HEALTH LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
136 HAZARD AVE BLDG 6
ENFIELD, CT
ZIP 06082
Phone: (860) 670-3039
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CT CENTER FOR BLADDER HEALTH LLC is a family nurse practitioner in Enfield, CT. CT CENTER FOR BLADDER HEALTH LLC NPI is 1174886188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

136 HAZARD AVE BLDG 6
ENFIELD, CT
ZIP 06082-520
Phone: (860) 670-3039

The provider's authorized official is Alison Joan Gorman .
The authorized official title is Owner and has the following contact phone number (860) 670-3039.

The enumeration date for this NPI number is 6/25/2012 and was last updated on 7/24/2012.

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	363LF0000X	Nurse Practitioner	Family	004196	CONNECTICUT	Yes

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: 11/14/2023

NPI Synchronization or Removal

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