Active NPIIndividual provider

Ashley L Portal

Nurse Practitioner, Family in Wethersfield, Connecticut

NPI Number1205613650
Practice location
1025 Silas Deane Hwy, Wethersfield, CT 06109-4223
Fax
860-696-2415
Last updated
September 26, 2023

Ashley Lynn Portal is a Nurse Practitioner, Family based in Wethersfield, CT. Ashley Lynn Portal practices in Wethersfield, CT. The NPI Number for Ashley Lynn Portal is 1205613650 and holds a License No. 12359 (CT). The current practice location address for Ashley Lynn Portal is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 and can be reached out via phone at 860-696-2400 and via fax at 860-696-2415.

Provider Profile Details

NPI Number
1205613650
Provider Name
Ashley Lynn Portal
Provider Entity Type
Individual
Gender
Female
Address
1025 Silas Deane Hwy, Wethersfield, CT 06109-4223
Phone Number
860-696-2400
Fax Number
860-696-2415
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2023
Last Update Date
September 26, 2023
Certification Date
September 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Zip
06109-4223
Phone Number
860-696-2400
Fax Number
860-696-2415
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Hhc-Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number
12359
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 Ashley L Portal?

The NPI number of Ashley L Portal is 1205613650. It was assigned on September 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Ashley L Portal?

Ashley L Portal is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12359.

Where does Ashley L Portal practice?

The practice location is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223. The office can be reached at 860-696-2400 (phone) or 860-696-2415 (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 1205613650 directly on the NPPES registry website.

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