NPI 1609662949 · live from the CMS NPI Registry
Nicolette Anderson, PA-C
Physician Assistant in New Haven, CT. National Provider Identifier 1609662949, active.
NPI record
| NPI | 1609662949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 333 Cedar St, New Haven, CT 06510 |
| Practice phone | 203-432-4771 |
| Mailing address | 4053 S Uravan St, Aurora, CO 80013 |
| Enumerated | April 15, 2025 |
| Last updated | April 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.