Active NPIIndividual provider

Mr. Mikhail Altan

Nurse Practitioner, Family in Seymour, Connecticut

NPI Number1265248561
Practice location
17 Heritage Dr, Seymour, CT 06483-3841
Fax
—
Last updated
December 10, 2024

Mikhail Altan is a Nurse Practitioner, Family based in Seymour, CT. Mikhail Altan practices in Seymour, CT. The NPI Number for Mikhail Altan is 1265248561 and holds a License No. 13795 (CT). The current practice location address for Mikhail Altan is 17 Heritage Dr, Seymour, CT 06483-3841 and can be reached out via phone at 203-610-1148.

Provider Profile Details

NPI Number
1265248561
Provider Name
Mikhail Altan
Provider Entity Type
Individual
Gender
Male
Address
17 Heritage Dr, Seymour, CT 06483-3841
Phone Number
203-610-1148
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2024
Last Update Date
December 10, 2024
Certification Date
December 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Heritage Dr
Seymour, CT 06483-3841
Zip
06483-3841
Phone Number
203-610-1148
Seymour, CT 06483Get directions →

Provider Business Mailing Address Details

Address
17 Heritage Dr
Seymour, CT 06483-3841
City
Seymour
State
CT
Zip
06483-3841
Phone Number
203-610-1148

License Information

License Number
13795
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 Mr. Mikhail Altan?

The NPI number of Mr. Mikhail Altan is 1265248561. It was assigned on December 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Mikhail Altan?

Mr. Mikhail Altan is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 13795.

Where does Mr. Mikhail Altan practice?

The practice location is 17 Heritage Dr, Seymour, CT 06483-3841. The office can be reached at 203-610-1148 (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 1265248561 directly on the NPPES registry website.

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