NPI 1396016259 · live from the CMS NPI Registry
Antero, INC
Nurse Practitioner in East Hartford, CT. National Provider Identifier 1396016259, active.
NPI record
| NPI | 1396016259 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 99 E River Dr, East Hartford, CT 06108 |
| Practice phone | 860-726-7439 |
| Enumerated | January 24, 2012 |
| Last updated | January 24, 2012 |
| Authorized official | Charles Bizilj, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.