Organization · Type 2 NPI
Abundant Life Integrative Medicine LLC
Family Nurse Practitioner · Newington, CT
NPI number
1114846888
Active
Practice location
98 Pane Rd Unit 1106
Newington, CT 06111-5568
Fax (203) 621-3172
Mailing address
1145 N Colony Rd Ste 3
Wallingford, CT 06492-1796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1114846888
Abundant Life Integrative Medicine LLC's National Provider Identifier is 1114846888, issued on Jul 15, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newington, CT. The record was last updated on Jul 15, 2026.