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

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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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.