PRIORITY HEALTH SERVICES LLC NPI 1306549092

NPI Information

NPI: 1306549092
Provider Name: PRIORITY HEALTH SERVICES LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 07D2279073

Address:
6 WOODLAND RD
MADISON, CT
ZIP 06443
Phone: (203) 214-1242
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PRIORITY HEALTH SERVICES LLC is a family nurse practitioner in Madison, CT. PRIORITY HEALTH SERVICES LLC NPI is 1306549092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 WOODLAND RD
MADISON, CT
ZIP 06443-685
Phone: (203) 214-1242

The provider's authorized official is Patrice Wilhelm .
The authorized official title is Owner and has the following contact phone number (203) 214-1242.

The CLIA number assigned to this NPI record is 07D2279073 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2023 and was last updated on 5/19/2023.

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	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LF0000X	Nurse Practitioner	Family			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: 5/5/2024

NPI Synchronization or Removal

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