OPTIMAL HEALING CENTER OF CONNECTICUT NPI 1841875952

NPI Information

NPI: 1841875952
Provider Name: OPTIMAL HEALING CENTER OF CONNECTICUT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4270 MAIN ST STE 303
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 491-8908
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OPTIMAL HEALING CENTER OF CONNECTICUT is a family nurse practitioner in Bridgeport, CT. OPTIMAL HEALING CENTER OF CONNECTICUT NPI is 1841875952. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4270 MAIN ST STE 303
BRIDGEPORT, CT
ZIP 06606-306
Phone: (203) 491-8908
Fax: (352) 480-1164

The provider's authorized official is Shyma Andrews .
The authorized official title is Ceo, Owner and has the following contact phone number (203) 491-8908.

The enumeration date for this NPI number is 3/11/2021 and was last updated on 9/30/2021.

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	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: 4/28/2024

NPI Synchronization or Removal

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