Individual provider · Type 1 NPI
Alexander Bermudez
Psychiatric/Mental Health Nurse Practitioner · Ellington, CT
NPI number
1013872571
Active
Practice location
46 Burbank Rd
Ellington, CT 06029-2832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 175023 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 16097 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Ellington
About NPI 1013872571
Alexander Bermudez's National Provider Identifier is 1013872571, issued on Dec 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellington, CT. The record was last updated on Dec 24, 2025.