NPI 1306475306 · live from the CMS NPI Registry
Advanced Telemedicine LLC
Nurse Practitioner, Family in Milford, CT. National Provider Identifier 1306475306, active.
NPI record
| NPI | 1306475306 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 6 W River St Unit 491, Milford, CT 06460 |
| Practice phone | 800-835-9812 |
| Mailing address | 17 Mayflower Ct, Milford, CT 06460 |
| Enumerated | April 2, 2020 |
| Last updated | July 31, 2020 |
| Authorized official | Michele Vallee, Authorized Official/Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.