NPI 1124940986 · live from the CMS NPI Registry
Advanced Health & Wellness Practice, PLLC
Nurse Practitioner, Family in West Hartford, CT. National Provider Identifier 1124940986, active.
NPI record
| NPI | 1124940986 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 557 Prospect Ave Fl 1-1004, West Hartford, CT 06105 |
| Practice phone | 413-238-1446 |
| Mailing address | Po Box 1425, Southwick, MA 01077 |
| Enumerated | July 27, 2026 |
| Last updated | July 27, 2026 |
| Authorized official | Lisa Killips, Family Nurse Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.