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PHYSICIAN SERVICES OF NORTHEAST NPI 1669603767


NPI Information

NPI: 1669603767
Provider Name: PHYSICIAN SERVICES OF NORTHEAST

Doing Business As: PHYSICIAN SERVICES OF NORTHEAST CT, LLC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
320 POMFRET ST
SUITE, CSB2
PUTNAM, CT
ZIP 06260
Phone: (860) 928-6541
Get Directions

PHYSICIAN SERVICES OF NORTHEAST is a nurse practitioner in Putnam, CT. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PHYSICIAN SERVICES OF NORTHEAST NPI is 1669603767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physician Services Of Northeast Ct, Llc.

The provider's business location address is:

320 POMFRET ST
SUITE, CSB2
PUTNAM, CT
ZIP 06260-836
Phone: (860) 928-6541
Fax: (860) 963-6091

The provider's authorized official is Julie M Drouin .
The authorized official title is Cfo and has the following contact phone number (860) 928-6541.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 12/9/2010.


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
1363LA2200XNurse PractitionerAdult HealthNo
2363L00000XNurse PractitionerYes

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
1D100000012MEDICARE PINCONNECTICUT

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

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