PAIN CENTER OF CT LLC NPI 1659082881

NPI Information

  • NPI: 1659082881
  • Provider Name: PAIN CENTER OF CT LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4 RESEARCH DRIVE
    SUITE 402
    SHELTON, CT
    ZIP 06484
  • Phone: (475) 269-5555

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NPI Details

PAIN CENTER OF CT LLC is a family nurse practitioner in Shelton, CT. PAIN CENTER OF CT LLC NPI is 1659082881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 RESEARCH DRIVE
SUITE 402
SHELTON, CT
ZIP 06484
Phone: (475) 269-5555

The provider's authorized official is Daniela Convertito .
The authorized official title is Owner, Medical Director and has the following contact phone number (203) 513-8230.

The enumeration date for this NPI number is 12/8/2022 and was last updated on 3/3/2023.

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
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: 3/30/2025

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