NPI 1306409222 · live from the CMS NPI Registry
Terance A Anderson, APRN
Nurse Practitioner, Gerontology in New Haven, CT. National Provider Identifier 1306409222, active.
NPI record
| NPI | 1306409222 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Gerontology 363LG0600X |
| Practice location | 20 York Street, Cb-2041, New Haven, CT 06510 |
| Practice phone | 203-688-4748 |
| Mailing address | 78 W Easton St, Hamden, CT 06514 |
| Enumerated | April 16, 2019 |
| Last updated | October 22, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology primary | 363LG0600X | 8152 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.