NPI 1508750399 · live from the CMS NPI Registry
Mahvesh Babar Ansari
Nurse Practitioner, Family in Vernon, CT. National Provider Identifier 1508750399, active.
NPI record
| NPI | 1508750399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 145 Union St, Vernon, CT 06066 |
| Practice phone | 860-375-8440 |
| Enumerated | June 5, 2025 |
| Last updated | June 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 14842 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.