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Eastern Connecticut Neurology Specialist Llc
Nurse Practitioner in Manchester, Connecticut
NPI 1932141298

Eastern Connecticut Neurology Specialist Llc is a Nurse Practitioner based in Vernon, CT. Eastern Connecticut Neurology Specialist Llc practices in Manchester, CT. The NPI Number for Eastern Connecticut Neurology Specialist Llc is 1932141298 and holds a License No. 039584 (Connecticut).

The current practice location address for Eastern Connecticut Neurology Specialist Llc is 394 W Center St, Manchester, CT and can be reached out via phone at 860-647-9183 and via fax at 860-647-0582. You can also correspond with Eastern Connecticut Neurology Specialist Llc through the mailing address at PO BOX 3262, VERNON, CT - 06066-2162 (mailing address contact number: 860-896-1422).

Location: 394 W Center St, Manchester, CT, 06066-2162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932141298
Provider Name
Eastern Connecticut Neurology Specialist Llc
Credential
Provider Entity Type
Organization
Address
394 W Center St, Manchester, CT, 06066-2162
Phone Number
860-647-9183
Fax Number
860-647-0582
Provider Enumeration Date
06/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C03446 01 CT MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
394 W Center St
City
Manchester
State
Connecticut
Zip
06040-4735
Phone Number
860-647-9183
Fax Number
860-647-0582
person
Provider Business Mailing Address Details
Address
394 W Center St
City
Manchester
State
Connecticut
Zip
06040-4735
Phone Number
860-647-9183
Fax Number
860-647-0582
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
005619 (Connecticut)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
039584 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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