NPI 1194614255 · live from the CMS NPI Registry
Anwar Esam Abdulrehman, APRN
Nurse Practitioner, Family in Waterbury, CT. National Provider Identifier 1194614255, active.
NPI record
| NPI | 1194614255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 50 Brookside Rd, Waterbury, CT 06708 |
| Practice phone | 203-568-7474 |
| Mailing address | 7 Shannon Rdg, Danbury, CT 06810 |
| Enumerated | July 1, 2025 |
| Last updated | June 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 14982 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.