Organization · Type 2 NPI
The Pediatric Care Center LLC
Specialist · Bristol, CT
NPI number
1144591595
Active
Practice location
780 Farmington Ave
Bristol, CT 06010-3920
Fax (860) 589-4502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 038949 (CT) |
| Pediatric Nurse Practitioner | 363LP0200X | 002742 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Bristol
About NPI 1144591595
The Pediatric Care Center LLC's National Provider Identifier is 1144591595, issued on Jan 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bristol, CT. The record was last updated on Jan 17, 2012.