Mallory S Breitmaier, FNP
Nurse Practitioner, Family in Colchester, Connecticut
1265786917- Practice location
- 119 S Main St, Minuteclinic, Colchester, CT 06415-1456
- Phone
- 401-714-5502
- Fax
- —
- Last updated
- February 10, 2023
Mallory Simpson Breitmaier is a Nurse Practitioner, Family based in Colchester, CT. Mallory Simpson Breitmaier practices in Colchester, CT and has the professional credentials of FNP. The NPI Number for Mallory Simpson Breitmaier is 1265786917 and holds a License No. 5210 (CT). The current practice location address for Mallory Simpson Breitmaier is 119 S Main St, Minuteclinic, Colchester, CT 06415-1456 and can be reached out via phone at 401-714-5502.
Provider Profile Details
- NPI Number
- 1265786917
- Provider Name
- Mallory Simpson Breitmaier
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 119 S Main St, Minuteclinic, Colchester, CT 06415-1456
- Phone Number
- 401-714-5502
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2012
- Last Update Date
- February 10, 2023
- Certification Date
- February 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 S Main St
Minuteclinic
Colchester, CT 06415-1456 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-1456
- Phone Number
- 401-714-5502
Provider Business Mailing Address Details
- Address
- 71 Leafwood Ln
# 297
Groton, CT 06340-6701 - City
- Groton
- State
- CT
- Zip
- 06340-6701
- Phone Number
- 401-714-5502
License Information
- License Number
- 5210
- License State
- CT
- 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 Mallory S Breitmaier, FNP?
The NPI number of Mallory S Breitmaier, FNP is 1265786917. It was assigned on November 2, 2012 and is currently active in the NPPES registry.
What is the specialty of Mallory S Breitmaier, FNP?
Mallory S Breitmaier, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5210.
Where does Mallory S Breitmaier, FNP practice?
The practice location is 119 S Main St, Minuteclinic, Colchester, CT 06415-1456. The office can be reached at 401-714-5502 (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 1265786917 directly on the NPPES registry website.