NPI 1114677713 · live from the CMS NPI Registry
Rose Claire Antoine, A-GNP-C
Nurse Practitioner, Primary Care in Hamden, CT. National Provider Identifier 1114677713, active.
NPI record
| NPI | 1114677713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 17 Raelin Rd, Hamden, CT 06514 |
| Practice phone | 203-589-0001 |
| Enumerated | March 25, 2022 |
| Last updated | March 25, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | AG03220092 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.