Active NPIIndividual provider

Anna Liza Abastillas, APRN

Nurse Practitioner, Family in Southington, Connecticut

NPI Number1063572014
Practice location
360 14 N Main St, Southington, CT 06489
Fax
860-621-0117
Last updated
February 1, 2021

Anna Liza Abastillas is a Nurse Practitioner, Family based in Southington, CT. Anna Liza Abastillas practices in Southington, CT and has the professional credentials of APRN. The NPI Number for Anna Liza Abastillas is 1063572014 and holds a License No. 002935 (CT). The current practice location address for Anna Liza Abastillas is 360 14 N Main St, Southington, CT 06489 and can be reached out via phone at 860-621-6759 and via fax at 860-621-0117.

Provider Profile Details

NPI Number
1063572014
Provider Name
Anna Liza Abastillas
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
360 14 N Main St, Southington, CT 06489
Phone Number
860-621-6759
Fax Number
860-621-0117
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2006
Last Update Date
February 1, 2021
Certification Date
February 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 14 N Main St
Southington, CT 06489
Zip
06489
Phone Number
860-621-6759
Fax Number
860-621-0117
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
9900 Bren RD E
Minnetonka, MN 55343-9664
City
Minnetonka
State
MN
Zip
55343-9664
Phone Number
605-188-8008

License Information

License Number (1)
002935
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
002935
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Anna Liza Abastillas, APRN?

The NPI number of Anna Liza Abastillas, APRN is 1063572014. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Anna Liza Abastillas, APRN?

Anna Liza Abastillas, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 002935.

Where does Anna Liza Abastillas, APRN practice?

The practice location is 360 14 N Main St, Southington, CT 06489. The office can be reached at 860-621-6759 (phone) or 860-621-0117 (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 1063572014 directly on the NPPES registry website.

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