Abundant Life Integrative Medicine LLC
Nurse Practitioner, Family in Newington, Connecticut
1114846888- Practice location
- 98 Pane RD Unit 1106, Newington, CT 06111-5568
- Phone
- 860-507-9883
- Fax
- 203-621-3172
- Last updated
- July 15, 2026
Abundant Life Integrative Medicine LLC is a healthcare organization based in Newington, CT. Abundant Life Integrative Medicine LLC practices in Newington, CT. The NPI Number for Abundant Life Integrative Medicine LLC is 1114846888. The current practice location address for Abundant Life Integrative Medicine LLC is 98 Pane RD Unit 1106, Newington, CT 06111-5568 and can be reached out via phone at 860-507-9883 and via fax at 203-621-3172.
Provider Profile Details
- NPI Number
- 1114846888
- Provider Name
- Abundant Life Integrative Medicine LLC
- Provider Entity Type
- Organization
- Address
- 98 Pane RD Unit 1106, Newington, CT 06111-5568
- Phone Number
- 860-507-9883
- Fax Number
- 203-621-3172
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Anaica Quao, DNP, APRN · Owner/Director · 860-507-9883
- Provider Enumeration Date
- July 15, 2026
- Last Update Date
- July 15, 2026
- Certification Date
- July 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 98 Pane RD Unit 1106
Newington, CT 06111-5568 - City
- Newington
- State
- Connecticut
- Zip
- 06111-5568
- Phone Number
- 860-507-9883
- Fax Number
- 203-621-3172
Provider Business Mailing Address Details
- Address
- 1145 N Colony RD Ste 3
Wallingford, CT 06492-1796 - City
- Wallingford
- State
- CT
- Zip
- 06492-1796
- Phone Number
- 860-507-9883
- Fax Number
- 203-621-3172
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. | |||
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Frequently Asked Questions
What is the NPI number of Abundant Life Integrative Medicine LLC?
The NPI number of Abundant Life Integrative Medicine LLC is 1114846888. It was assigned on July 15, 2026 and is currently active in the NPPES registry.
What is the specialty of Abundant Life Integrative Medicine LLC?
Abundant Life Integrative Medicine LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).
Where does Abundant Life Integrative Medicine LLC practice?
The practice location is 98 Pane RD Unit 1106, Newington, CT 06111-5568. The office can be reached at 860-507-9883 (phone) or 203-621-3172 (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 1114846888 directly on the NPPES registry website.