Active NPIIndividual providerSole proprietor

Mr. Ted U Pagulayan, FNP-BC, APHN-BC

Nurse Practitioner, Family in Groton, Connecticut

NPI Number1689654394
Practice location
1 Wahoo Ave, Groton, CT 06340-2324
Fax
—
Last updated
October 17, 2011

Ted Ubina Pagulayan is a Nurse Practitioner, Family based in Groton, CT. Ted Ubina Pagulayan practices in Groton, CT and has the professional credentials of FNP-BC, APHN-BC. The NPI Number for Ted Ubina Pagulayan is 1689654394 and holds a License No. 0001169726 (VA). The current practice location address for Ted Ubina Pagulayan is 1 Wahoo Ave, Groton, CT 06340-2324 and can be reached out via phone at 860-694-7512.

Provider Profile Details

NPI Number
1689654394
Provider Name
Ted Ubina Pagulayan
Credential
FNP-BC, APHN-BC
Provider Entity Type
Individual
Gender
Male
Address
1 Wahoo Ave, Groton, CT 06340-2324
Phone Number
860-694-7512
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2006
Last Update Date
October 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave
Groton, CT 06340-2324
City
Groton
Zip
06340-2324
Phone Number
860-694-7512
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
330 Crystal Ave
Unit # 5
New London, CT 06320-6500
City
New London
State
CT
Zip
06320-6500
Phone Number
703-618-0689

License Information

License Number (1)
0001169726
License State (1)
VA
Taxonomy (1)
Registered Nurse, Ambulatory Care · 163WP2201X
License Number (2)
30297876
License State (2)
DC
Taxonomy (2)
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. Ted U Pagulayan, FNP-BC, APHN-BC?

The NPI number of Mr. Ted U Pagulayan, FNP-BC, APHN-BC is 1689654394. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Ted U Pagulayan, FNP-BC, APHN-BC?

Mr. Ted U Pagulayan, FNP-BC, APHN-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VA under license number 0001169726.

Where does Mr. Ted U Pagulayan, FNP-BC, APHN-BC practice?

The practice location is 1 Wahoo Ave, Groton, CT 06340-2324. The office can be reached at 860-694-7512 (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 1689654394 directly on the NPPES registry website.

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