NPI 1285891051 · live from the CMS NPI Registry
Patricia Bouwer, RN,MS,FNP
Nurse Practitioner, Family in Glastonbury, CT. National Provider Identifier 1285891051, active.
NPI record
| NPI | 1285891051 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 290 Western Blvd, Glastonbury, CT 06033 |
| Practice phone | 860-652-3325 |
| Mailing address | 76 Spoonville Road, East Granby, CT 06260 |
| Enumerated | May 20, 2008 |
| Last updated | August 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 000983 (CT) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 000983 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.