KATHLEEN M BALANTIC APRN NPI 1568525921

NPI Information

NPI: 1568525921
Provider Name: KATHLEEN M BALANTIC, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
75 EASTERN POINT RD
GROTON, CT
ZIP 06340
Phone: (860) 833-9390
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Kathleen M Balantic, APRN is an adult health nurse practitioner in Groton, CT. Kathleen M Balantic, APRN NPI is 1568525921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 EASTERN POINT RD
GROTON, CT
ZIP 06340-905
Phone: (860) 833-9390

The enumeration date for this NPI number is 12/18/2006 and was last updated on 5/26/2016.

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	363LA2200X	Nurse Practitioner	Adult Health	6429	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	050001247CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
2	U72544	MEDICARE UPIN
3	004190302	MEDICAID	CONNECTICUT
4	350000991	MEDICARE ID-TYPE UNSPECIFIED

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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