NPI 1417389735 · live from the CMS NPI Registry
Richard B Ahrens, PA-C
Physician Assistant, Surgical in Vernon, CT. National Provider Identifier 1417389735, active.
NPI record
| NPI | 1417389735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 224 Hartford Tpke, Vernon, CT 06066 |
| Practice phone | 860-728-6740 |
| Enumerated | August 9, 2013 |
| Last updated | June 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 2949 (CT) |
| Physician Assistant, Surgical primary | 363AS0400X | 2949 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.