NPI 1134787021 · live from the CMS NPI Registry
Maureen Anderson, PA-C
Physician Assistant in Farmington, CT. National Provider Identifier 1134787021, active.
NPI record
| NPI | 1134787021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 263 Farmington Ave, Farmington, CT 06030 |
| Practice phone | 860-679-2000 |
| Enumerated | June 5, 2019 |
| Last updated | August 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 006807 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.