Active NPIIndividual providerSole proprietor

Ms. Alicia Bravo, ANP-BC

Nurse Practitioner, Adult Health in Wethersfield, Connecticut

NPI Number1164869137
Practice location
692 Prospect St, Wethersfield, CT 06109-3544
Fax
—
Last updated
May 30, 2013

Alicia Bravo is a Nurse Practitioner, Adult Health based in Wethersfield, CT. Alicia Bravo practices in Wethersfield, CT and has the professional credentials of ANP-BC. The NPI Number for Alicia Bravo is 1164869137 and holds a License No. 5359 (CT). The current practice location address for Alicia Bravo is 692 Prospect St, Wethersfield, CT 06109-3544 and can be reached out via phone at 860-478-8877.

Provider Profile Details

NPI Number
1164869137
Provider Name
Alicia Bravo
Credential
ANP-BC
Provider Entity Type
Individual
Gender
Female
Address
692 Prospect St, Wethersfield, CT 06109-3544
Phone Number
860-478-8877
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
May 30, 2013
Last Update Date
May 30, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
692 Prospect St
Wethersfield, CT 06109-3544
Zip
06109-3544
Phone Number
860-478-8877
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
692 Prospect St
Wethersfield, CT 06109-3544
City
Wethersfield
State
CT
Zip
06109-3544
Phone Number
860-563-5145

License Information

License Number
5359
License State
CT
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Ms. Alicia Bravo, ANP-BC?

The NPI number of Ms. Alicia Bravo, ANP-BC is 1164869137. It was assigned on May 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Alicia Bravo, ANP-BC?

Ms. Alicia Bravo, ANP-BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 5359.

Where does Ms. Alicia Bravo, ANP-BC practice?

The practice location is 692 Prospect St, Wethersfield, CT 06109-3544. The office can be reached at 860-478-8877 (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 1164869137 directly on the NPPES registry website.

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