STILL WATER SERENITY FOUNDATION LLC NPI 1619718038

NPI Information

  • NPI: 1619718038
  • Provider Name: STILL WATER SERENITY FOUNDATION LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 133 LONGMEADOW DR
    TORRINGTON, CT
    ZIP 06790
  • Phone: (860) 387-7940

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NPI Details

STILL WATER SERENITY FOUNDATION LLC is a family nurse practitioner in Torrington, CT. STILL WATER SERENITY FOUNDATION LLC NPI is 1619718038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

133 LONGMEADOW DR
TORRINGTON, CT
ZIP 06790-170
Phone: (860) 387-7940

The provider's authorized official is Garrett J Whittaker .
The authorized official title is Ceo/owner and has the following contact phone number (860) 387-7940.

The enumeration date for this NPI number is 6/3/2024 and was last updated on 6/3/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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