Active NPIIndividual provider

Angela L Prentiss, APRN

Nurse Practitioner, Family in Groton, Connecticut

NPI Number1285048579
Practice location
52 Hazelnut Hill RD, Groton, CT 06340-3268
Fax
—
Last updated
February 13, 2015

Angela Lyn Prentiss is a Nurse Practitioner, Family based in Groton, CT. Angela Lyn Prentiss practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Angela Lyn Prentiss is 1285048579 and holds a License No. 005767 (CT). The current practice location address for Angela Lyn Prentiss is 52 Hazelnut Hill RD, Groton, CT 06340-3268 and can be reached out via phone at 860-446-8265.

Provider Profile Details

NPI Number
1285048579
Provider Name
Angela Lyn Prentiss
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
52 Hazelnut Hill RD, Groton, CT 06340-3268
Phone Number
860-446-8265
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Angela Benard (Former Name)
Provider Enumeration Date
June 16, 2014
Last Update Date
February 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Hazelnut Hill RD
Groton, CT 06340-3268
City
Groton
Zip
06340-3268
Phone Number
860-446-8265
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
612 South Street
Coventry, CT 06238
City
Coventry
State
CT
Zip
06238

License Information

License Number
005767
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 Angela L Prentiss, APRN?

The NPI number of Angela L Prentiss, APRN is 1285048579. It was assigned on June 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Angela L Prentiss, APRN?

Angela L Prentiss, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 005767.

Where does Angela L Prentiss, APRN practice?

The practice location is 52 Hazelnut Hill RD, Groton, CT 06340-3268. The office can be reached at 860-446-8265 (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 1285048579 directly on the NPPES registry website.

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