Active NPIIndividual providerSole proprietor

Gabriell Budoff, AGNP-C

Nurse Practitioner, Gerontology in Old Lyme, Connecticut

NPI Number1265911473
Practice location
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Fax
877-515-7147
Last updated
September 24, 2018

Gabriell Budoff is a Nurse Practitioner, Gerontology based in Old Lyme, CT. Gabriell Budoff practices in Old Lyme, CT and has the professional credentials of AGNP-C. The NPI Number for Gabriell Budoff is 1265911473 and holds a License No. 7860 (CT). The current practice location address for Gabriell Budoff is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534 and can be reached out via phone at 800-370-3651 and via fax at 877-515-7147.

Provider Profile Details

NPI Number
1265911473
Provider Name
Gabriell Budoff
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Phone Number
800-370-3651
Fax Number
877-515-7147
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2018
Last Update Date
September 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Hatchetts Hill RD
Old Lyme, CT 06371-1534
Zip
06371-1534
Phone Number
800-370-3651
Fax Number
877-515-7147
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
231 Coolidge Ave Apt 412
Watertown, MA 02472-1561
City
Watertown
State
MA
Zip
02472-1561
Phone Number
914-645-4298

License Information

License Number (1)
7860
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (2)
RN2318664
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Gerontology providers near Old Lyme, CT

View all Nurse Practitioner, Gerontology providers in Old Lyme →

Frequently Asked Questions

What is the NPI number of Gabriell Budoff, AGNP-C?

The NPI number of Gabriell Budoff, AGNP-C is 1265911473. It was assigned on August 8, 2018 and is currently active in the NPPES registry.

What is the specialty of Gabriell Budoff, AGNP-C?

Gabriell Budoff, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 7860.

Where does Gabriell Budoff, AGNP-C practice?

The practice location is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534. The office can be reached at 800-370-3651 (phone) or 877-515-7147 (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 1265911473 directly on the NPPES registry website.

Browse related providers