NPI 1457041097 · live from the CMS NPI Registry
Nency Antoine, DNP, FNP
Nurse Practitioner, Family in Bloomfield, CT. National Provider Identifier 1457041097, active.
NPI record
| NPI | 1457041097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 580 Cottage Grove Rd Ste 107, Bloomfield, CT 06002 |
| Practice phone | 860-243-8709 |
| Mailing address | 95 Woodland St Fl 1, Hartford, CT 06105 |
| Enumerated | May 8, 2023 |
| Last updated | January 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.465400 (IL) |
| Nurse Practitioner, Family primary | 363LF0000X | 12655 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.