Active NPIIndividual provider

Nicole L Hettrich, PA

Physician Assistant, Medical in Wethersfield, Connecticut

NPI Number1093969404
Practice location
1025 Silas Deane Hwy, Wethersfield, CT 06109-4229
Fax
860-696-2410
Last updated
January 17, 2017

Nicole L Hettrich is a Physician Assistant, Medical based in Wethersfield, CT. Nicole L Hettrich practices in Wethersfield, CT and has the professional credentials of PA. The NPI Number for Nicole L Hettrich is 1093969404 and holds a License No. 000972 (CT). The current practice location address for Nicole L Hettrich is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 and can be reached out via phone at 860-696-2400 and via fax at 860-696-2410.

Provider Profile Details

NPI Number
1093969404
Provider Name
Nicole L Hettrich
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1025 Silas Deane Hwy, Wethersfield, CT 06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2008
Last Update Date
January 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1025 Silas Deane Hwy
Wethersfield, CT 06109-4229
Zip
06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
1025 Silas Deane Hwy
Wethersfield, CT 06109-4229
City
Wethersfield
State
CT
Zip
06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410

License Information

License Number
000972
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Nicole L Hettrich, PA?

The NPI number of Nicole L Hettrich, PA is 1093969404. It was assigned on November 12, 2008 and is currently active in the NPPES registry.

What is the specialty of Nicole L Hettrich, PA?

Nicole L Hettrich, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000972.

Where does Nicole L Hettrich, PA practice?

The practice location is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229. The office can be reached at 860-696-2400 (phone) or 860-696-2410 (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 1093969404 directly on the NPPES registry website.

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