Organization · Type 2 NPI

State of Connecticut Health Center

Nurse Practitioner · Farmington, CT

NPI number 1386821882 Active

Practice location

263 Farmington Ave, Aprn, Orthopaedics
Farmington, CT 06030-0001

Fax (860) 679-1610

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

1,468 other providers at this address

NPI record

NPI: 1386821882
Entity type: Organization (Type 2)
Issued: Jan 28, 2008
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of State of Connecticut Health Center

Other names

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Aprn, Orthopaedics · other name

Authorized official

Denis C Lafreniere, MD
Medical Director
(860) 679-7503

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386821882

State of Connecticut Health Center's National Provider Identifier is 1386821882, issued on Jan 28, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, CT. The record was last updated on Jul 21, 2022.