NPI 1366050411 · live from the CMS NPI Registry
Casey Aivano, APRN
Nurse Practitioner, Family in New Britain, CT. National Provider Identifier 1366050411, active.
NPI record
| NPI | 1366050411 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 100 Grand St, New Britain, CT 06052 |
| Practice phone | 860-224-5011 |
| Mailing address | 145 Whistling Straits Dr, Southington, CT 06489 |
| Enumerated | July 15, 2020 |
| Last updated | July 29, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Nurse Practitioner, Family primary | 363LF0000X | 9038 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.