NPI 1215602115 · live from the CMS NPI Registry
Arifa Khanam Alam
Nurse Practitioner in New Haven, CT. National Provider Identifier 1215602115, active.
NPI record
| NPI | 1215602115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1450 Chapel St, New Haven, CT 06511 |
| Practice phone | 203-645-7944 |
| Mailing address | 13 Webb St Fl 1, Hamden, CT 06517 |
| Enumerated | August 12, 2021 |
| Last updated | September 29, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 9506 (CT) |
| Nurse Practitioner primary | 363L00000X | 9506 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.