NPI 1124880505 · live from the CMS NPI Registry
Jessica Andraszek
Nurse Practitioner, Gerontology in Stamford, CT. National Provider Identifier 1124880505, active.
NPI record
| NPI | 1124880505 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Gerontology 363LG0600X |
| Practice location | 90 Morgan St Ste 105, Stamford, CT 06905 |
| Practice phone | 203-898-0016 |
| Enumerated | January 30, 2024 |
| Last updated | April 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology primary | 363LG0600X | 12.012837 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.