Organization · Type 2 NPI
Destination Gorgeous
Nurse Practitioner · Waterbury, CT
Practice location
678 Chase Pkwy Lowr Level
Waterbury, CT 06708-3050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1013704170
Destination Gorgeous's National Provider Identifier is 1013704170, issued on Apr 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterbury, CT. The record was last updated on Oct 9, 2026.