Organization · Type 2 NPI
CT Center for Bladder Health LLC
Family Nurse Practitioner · Enfield, CT
NPI number
1174886188
Active
Practice location
136 Hazard Ave Bldg 6
Enfield, CT 06082-4520
Mailing address
20 N Meadow Rd
Windsor, CT 06095-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 004196 (CT) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Enfield
About NPI 1174886188
CT Center for Bladder Health LLC's National Provider Identifier is 1174886188, issued on Jun 25, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Enfield, CT. The record was last updated on Jul 24, 2012.