Individual provider · Type 1 NPI

Forrest Logan Carruba

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1013601152 Active

Practice location

45 Wadsworth St
Hartford, CT 06106-7108

Call (860) 527-1124 Map

Mailing address

16 Essex St Apt F
Hartford, CT 06114-4039

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013601152

Forrest Logan Carruba's National Provider Identifier is 1013601152, issued on Jun 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jun 2, 2023.