NPI 1679024541 · live from the CMS NPI Registry
Leah Anderson
Nurse Practitioner, Primary Care in Rocky Hill, CT. National Provider Identifier 1679024541, active.
NPI record
| NPI | 1679024541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 400 Capital Blvd, Rocky Hill, CT 06067 |
| Practice phone | 860-637-3269 |
| Mailing address | 185 Asylum St, Hartford, CT 06103 |
| Enumerated | October 17, 2016 |
| Last updated | December 8, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | 12.006741 (CT) |
| Nurse Practitioner, Gerontology | 363LG0600X | 02246 (RI) |
| Nurse Practitioner, Primary Care | 363LP2300X | F309504-01 (NY) |
| Nurse Practitioner, Primary Care | 363LP2300X | CNP191291 (ME) |
| Nurse Practitioner, Primary Care | 363LP2300X | 081611-23 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.