Individual provider · Type 1 NPI

Faisal Ijaz, NURSE PRACTITIONER

Family Nurse Practitioner · East Hartford, CT

NPI number 1336573146 Active

Practice location

580 Burnside Ave
East Hartford, CT 06108-3579

Fax (860) 528-2341

Mailing address

24 Grimes Rd
Rocky Hill, CT 06067-2406

Other practice locations

  • 263 Farmington Avenue, Farmington, CT 06030-8082 · (860) 679-6599
  • 430 Cooley St, Springfield, MA 01128-1180 · (413) 782-0320

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5497 (CT)
Family Nurse Practitioner 363LF0000XRN2290444 (MA)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1336573146

Faisal Ijaz, NURSE PRACTITIONER's National Provider Identifier is 1336573146, issued on Aug 28, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Hartford, CT. The record was last updated on Sep 17, 2026.