Collaborative Medicine LLC
Nurse Practitioner, Family in Canton, Connecticut
1063137511- Practice location
- 166 Albany Tpke Ste 7, Canton, CT 06019-2546
- Phone
- 860-935-6680
- Fax
- 860-359-3701
- Last updated
- May 22, 2025
Collaborative Medicine LLC is a healthcare organization based in Canton, CT. Collaborative Medicine LLC practices in Canton, CT. The NPI Number for Collaborative Medicine LLC is 1063137511. The current practice location address for Collaborative Medicine LLC is 166 Albany Tpke Ste 7, Canton, CT 06019-2546 and can be reached out via phone at 860-935-6680 and via fax at 860-359-3701.
Provider Profile Details
- NPI Number
- 1063137511
- Provider Name
- Collaborative Medicine LLC
- Provider Entity Type
- Organization
- Address
- 166 Albany Tpke Ste 7, Canton, CT 06019-2546
- Phone Number
- 860-935-6680
- Fax Number
- 860-359-3701
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Jennifer Cannon, NP-C · Owner · 860-935-6680
- Provider Enumeration Date
- October 6, 2022
- Last Update Date
- May 22, 2025
- Certification Date
- May 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Albany Tpke Ste 7
Canton, CT 06019-2546 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2546
- Phone Number
- 860-935-6680
- Fax Number
- 860-359-3701
Provider Business Mailing Address Details
- Address
- 78 Pine Hill RD
Burlington, CT 06013-2303 - City
- Burlington
- State
- CT
- Zip
- 06013-2303
- Phone Number
- 203-444-0436
License Information
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Canton, CT
View all Nurse Practitioner, Family providers in Canton →- Christine BioloNurse Practitioner, Family · NPI 1366918468
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- Jonida A Gjika, APRNNurse Practitioner, Family · NPI 1801643663
- Melissa W Breton, APRNNurse Practitioner, Family · NPI 1588942924
- Mrs. Jennifer Cannon, APRNNurse Practitioner, Family · NPI 1528461647
- Path: Personalized Approach To Health, LLCNurse Practitioner, Family · NPI 1639890056
Frequently Asked Questions
What is the NPI number of Collaborative Medicine LLC?
The NPI number of Collaborative Medicine LLC is 1063137511. It was assigned on October 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Collaborative Medicine LLC?
Collaborative Medicine LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).
Where does Collaborative Medicine LLC practice?
The practice location is 166 Albany Tpke Ste 7, Canton, CT 06019-2546. The office can be reached at 860-935-6680 (phone) or 860-359-3701 (fax).
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 1063137511 directly on the NPPES registry website.