Active NPIOrganization

A Prospering Vision Holistic Medical Services, LLC

Nurse Practitioner in Waterbury, Connecticut

NPI Number1003280157
Practice location
60 N Main St, 3RD Flr, Waterbury, CT 06702-1443
Fax
—
Last updated
November 30, 2015

A Prospering Vision Holistic Medical Services, LLC is a healthcare organization based in Waterbury, CT. A Prospering Vision Holistic Medical Services, LLC practices in Waterbury, CT. The NPI Number for A Prospering Vision Holistic Medical Services, LLC is 1003280157. The current practice location address for A Prospering Vision Holistic Medical Services, LLC is 60 N Main St, 3RD Flr, Waterbury, CT 06702-1443 and can be reached out via phone at 203-558-9865.

Provider Profile Details

NPI Number
1003280157
Provider Name
A Prospering Vision Holistic Medical Services, LLC
Provider Entity Type
Organization
Address
60 N Main St, 3RD Flr, Waterbury, CT 06702-1443
Phone Number
203-558-9865
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
Yes
Parent Organization
A Prospering Vision, LLC
Authorized Official
Mr. Elijah Caldwell, LCSW · Executive Director · 203-558-9865
Provider Enumeration Date
November 30, 2015
Last Update Date
November 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 N Main St
3RD Flr
Waterbury, CT 06702-1443
Zip
06702-1443
Phone Number
203-558-9865
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
60 N Main St
3RD Flr
Waterbury, CT 06702-1443
City
Waterbury
State
CT
Zip
06702-1443
Phone Number
203-558-9865

License Information

Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of A Prospering Vision Holistic Medical Services, LLC?

The NPI number of A Prospering Vision Holistic Medical Services, LLC is 1003280157. It was assigned on November 30, 2015 and is currently active in the NPPES registry.

What is the specialty of A Prospering Vision Holistic Medical Services, LLC?

A Prospering Vision Holistic Medical Services, LLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).

Where does A Prospering Vision Holistic Medical Services, LLC practice?

The practice location is 60 N Main St, 3RD Flr, Waterbury, CT 06702-1443. The office can be reached at 203-558-9865 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003280157 directly on the NPPES registry website.

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