NPI 1962215319 · live from the CMS NPI Registry
Jaimie L. Anderson, APRN
Nurse Practitioner, Family in West Haven, CT. National Provider Identifier 1962215319, active.
NPI record
| NPI | 1962215319 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 761 Campbell Ave, West Haven, CT 06516 |
| Practice phone | 203-848-1484 |
| Mailing address | 181 Park Rd, Oxford, CT 06478 |
| Enumerated | January 29, 2025 |
| Last updated | January 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 1225028665 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.