Active NPIIndividual provider

Kathleen M Balantic, APRN

Nurse Practitioner, Adult Health in Groton, Connecticut

NPI Number1568525921
Practice location
75 Eastern Point RD, Groton, CT 06340-4905
Fax
—
Last updated
May 26, 2016

Kathleen M Balantic is a Nurse Practitioner, Adult Health based in Groton, CT. Kathleen M Balantic practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Kathleen M Balantic is 1568525921 and holds a License No. 6429 (CT). The current practice location address for Kathleen M Balantic is 75 Eastern Point RD, Groton, CT 06340-4905 and can be reached out via phone at 860-833-9390.

Provider Profile Details

NPI Number
1568525921
Provider Name
Kathleen M Balantic
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
75 Eastern Point RD, Groton, CT 06340-4905
Phone Number
860-833-9390
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2006
Last Update Date
May 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Eastern Point RD
Groton, CT 06340-4905
City
Groton
Zip
06340-4905
Phone Number
860-833-9390
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
75 Eastern Point RD
Groton, CT 06340-4905
City
Groton
State
CT
Zip
06340-4905
Phone Number
860-833-9390

License Information

License Number
6429
License State
CT
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Kathleen M Balantic, APRN?

The NPI number of Kathleen M Balantic, APRN is 1568525921. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Balantic, APRN?

Kathleen M Balantic, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 6429.

Where does Kathleen M Balantic, APRN practice?

The practice location is 75 Eastern Point RD, Groton, CT 06340-4905. The office can be reached at 860-833-9390 (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 1568525921 directly on the NPPES registry website.

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