Organization · Type 2 NPI
Live Well LLC
Psychiatric/Mental Health Nurse Practitioner · East Hartford, CT
NPI number
1093563645
Active
Practice location
1331 Burnside Ave Apt A4
East Hartford, CT 06108-1577
Mailing address
304 W Main St Ste 2
Avon, CT 06001-4355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in East Hartford
About NPI 1093563645
Live Well LLC's National Provider Identifier is 1093563645, issued on May 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Hartford, CT. The record was last updated on May 8, 2024.