NPI 1457635476 · live from the CMS NPI Registry
Marianne Anderson, APRN, CPNP
Nurse Practitioner, Pediatrics in Hartford, CT. National Provider Identifier 1457635476, active.
NPI record
| NPI | 1457635476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 114 Woodland St, Hartford, CT 06105 |
| Practice phone | 860-714-9000 |
| Mailing address | 72 Applewood Ln, Glastonbury, CT 06033 |
| Enumerated | October 10, 2011 |
| Last updated | October 10, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 001697 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.