BRETT ROBERTSON NPI 1194100065

NPI Information

Brett Robertson is a family nurse practitioner in Willimantic, CT with 9 years of experience. Brett Robertson NPI is 1194100065. 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:

40 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226-018
Phone: (860) 450-7471
Fax: (860) 450-0213

The NPI 1194100065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 7/21/2015.

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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