Individual provider · Type 1 NPI
Chin Cheng Tai
Primary Care Nurse Practitioner · Southbury, CT
NPI number
1417300112
Active
Practice location
49 Peter Rd Ste 3
Southbury, CT 06488-2681
Mailing address
58 Overton Farm Rd
Southbury, CT 06488-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307846 (NY) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 9385 (CT) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Southbury
About NPI 1417300112
Chin Cheng Tai's National Provider Identifier is 1417300112, issued on Jul 18, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Southbury, CT. The record was last updated on Aug 27, 2025.