Organization · Type 2 NPI
Longevity Clinical LTC Associates of Connecticut, PLLC
Gerontology Nurse Practitioner · Hartford, CT
NPI number
1245057058
Active
Practice location
20 Church St
Hartford, CT 06103-1246
Mailing address
11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1245057058
Longevity Clinical LTC Associates of Connecticut, PLLC's National Provider Identifier is 1245057058, issued on Sep 23, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Hartford, CT. The record was last updated on Sep 23, 2024.