NPI 1497101265 · live from the CMS NPI Registry
Advance Practice Resource Network LLC
Nurse Practitioner, Family in Waterbury, CT. National Provider Identifier 1497101265, active.
NPI record
| NPI | 1497101265 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 969 W Main St, Suite 1 D, Waterbury, CT 06708 |
| Practice phone | 203-596-0857 |
| Enumerated | May 10, 2016 |
| Last updated | September 7, 2016 |
| Authorized official | Lori Pelosi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 005149 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.