NPI 1992845481 · live from the CMS NPI Registry
Advanced Care Associates, LLC
Nurse Practitioner in Old Saybrook, CT. National Provider Identifier 1992845481, active.
NPI record
| NPI | 1992845481 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 |
| Practice phone | 800-370-3651 |
| Enumerated | February 7, 2007 |
| Last updated | March 11, 2009 |
| Authorized official | Brenda De Gray, Credentialing Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Geriatric Medicine | 207RG0300X | — |
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.