NPI 1265248561 · live from the CMS NPI Registry
Mikhail Altan
Nurse Practitioner, Family in Seymour, CT. National Provider Identifier 1265248561, active.
NPI record
| NPI | 1265248561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 17 Heritage Dr, Seymour, CT 06483 |
| Practice phone | 203-610-1148 |
| Enumerated | December 10, 2024 |
| Last updated | December 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 13795 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.