CT FAMILY CARE LLC NPI 1245501279

NPI Information

NPI: 1245501279
Provider Name: CT FAMILY CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
281 HARTFORD TPKE
SUITE 306
VERNON, CT
ZIP 06066
Phone: (860) 454-8621
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CT FAMILY CARE LLC is a family nurse practitioner in Vernon, CT. CT FAMILY CARE LLC NPI is 1245501279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

281 HARTFORD TPKE
SUITE 306
VERNON, CT
ZIP 06066-784
Phone: (860) 454-8621
Fax: (860) 926-4725

The provider's authorized official is Jt Mohler-avery .
The authorized official title is Ceo/managing Member and has the following contact phone number (860) 985-7080.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 3/9/2012.

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	004732	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: 4/28/2024

NPI Synchronization or Removal

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