NPI 1942186507 · live from the CMS NPI Registry
Agape Family Medical Clinic INC
Nurse Practitioner, Family in Waterbury, CT. National Provider Identifier 1942186507, active.
NPI record
| NPI | 1942186507 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1078 W Main St Ste 3, Waterbury, CT 06708 |
| Practice phone | 203-527-3576 |
| Enumerated | August 11, 2025 |
| Last updated | August 11, 2025 |
| Authorized official | Felistas Mazhandu, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.