Organization · Type 2 NPI

Collaborative Medicine LLC

Family Nurse Practitioner · Canton, CT

NPI number 1063137511 Active

Practice location

166 Albany Tpke Ste 7
Canton, CT 06019-2546

Fax (860) 359-3701

Mailing address

78 Pine Hill Rd
Burlington, CT 06013-2303

Other practice locations

  • 78 Pine Hill Rd, Burlington, CT 06013-2303 · (203) 910-1577

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1063137511

Collaborative Medicine LLC's National Provider Identifier is 1063137511, issued on Oct 6, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, CT. The record was last updated on May 22, 2025.