SYNERGY ADVANCED HEALTHCARE LLC NPI 1306488762

NPI Information

NPI: 1306488762
Provider Name: SYNERGY ADVANCED HEALTHCARE LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 07D2175883

Address:
100 COMMERCIAL BLVD
TORRINGTON, CT
ZIP 06790
Phone: (860) 618-7575
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SYNERGY ADVANCED HEALTHCARE LLC is a primary care nurse practitioner in Torrington, CT. SYNERGY ADVANCED HEALTHCARE LLC NPI is 1306488762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 COMMERCIAL BLVD
TORRINGTON, CT
ZIP 06790-098
Phone: (860) 618-7575
Fax: (860) 618-7576

The provider's authorized official is Michael Allen .
The authorized official title is Partner and has the following contact phone number (203) 870-1796.

The CLIA number assigned to this NPI record is 07D2175883 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 1/5/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WC1500X	Registered Nurse	Community Health	No
2	251S00000X	Community/Behavioral Health		No
3	363LP2300X	Nurse Practitioner	Primary Care	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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