Active NPIOrganization

CT Center For Bladder Health LLC

Nurse Practitioner, Family in Enfield, Connecticut

NPI Number1174886188
Practice location
136 Hazard Ave Bldg 6, Enfield, CT 06082-4520
Fax
—
Last updated
July 24, 2012

CT Center For Bladder Health LLC is a healthcare organization based in Enfield, CT. CT Center For Bladder Health LLC practices in Enfield, CT. The NPI Number for CT Center For Bladder Health LLC is 1174886188 and holds a License No. 004196 (CT). The current practice location address for CT Center For Bladder Health LLC is 136 Hazard Ave Bldg 6, Enfield, CT 06082-4520 and can be reached out via phone at 860-670-3039.

Provider Profile Details

NPI Number
1174886188
Provider Name
CT Center For Bladder Health LLC
Provider Entity Type
Organization
Address
136 Hazard Ave Bldg 6, Enfield, CT 06082-4520
Phone Number
860-670-3039
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Ms. Alison Joan Gorman, APRN · Owner · 860-670-3039
Provider Enumeration Date
June 25, 2012
Last Update Date
July 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 Hazard Ave Bldg 6
Enfield, CT 06082-4520
Zip
06082-4520
Phone Number
860-670-3039
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
20 N Meadow RD
Windsor, CT 06095-2524
City
Windsor
State
CT
Zip
06095-2524
Phone Number
860-670-3039

License Information

License Number
004196
License State
CT
Taxonomy
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 CT Center For Bladder Health LLC?

The NPI number of CT Center For Bladder Health LLC is 1174886188. It was assigned on June 25, 2012 and is currently active in the NPPES registry.

What is the specialty of CT Center For Bladder Health LLC?

CT Center For Bladder Health LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 004196.

Where does CT Center For Bladder Health LLC practice?

The practice location is 136 Hazard Ave Bldg 6, Enfield, CT 06082-4520. The office can be reached at 860-670-3039 (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 1174886188 directly on the NPPES registry website.

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