Organization · Type 2 NPI
Collaborative Cancer Care
Adult Health Nurse Practitioner · Manchester, CT
NPI number
1396516381
Active
Practice location
112 Spencer St Ste 2
Manchester, CT 06040-4601
Mailing address
8 Birchwood Rd
East Hartford, CT 06118-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1396516381
Collaborative Cancer Care's National Provider Identifier is 1396516381, issued on Jan 10, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Manchester, CT. The record was last updated on May 22, 2024.