NPI 1922336965 · live from the CMS NPI Registry
Alivia Aron
Nurse Practitioner in Bridgeport, CT. National Provider Identifier 1922336965, active.
NPI record
| NPI | 1922336965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 211 State St, Bridgeport, CT 06604 |
| Practice phone | 203-366-0664 |
| Mailing address | 345 Whitney Ave, New Haven, CT 06511 |
| Enumerated | December 3, 2009 |
| Last updated | April 16, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN226241 (MA) |
| Nurse Practitioner primary | 363L00000X | 087783 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.