Organization · Type 2 NPI

Regional Physician Services Connecticut PC

Nurse Practitioner · East Berlin, CT

NPI number 1659679900 Active

Practice location

1224 Mill St Bldg B
East Berlin, CT 06023-1159

Call (480) 862-1677 Map

Fax (480) 718-7643

Mailing address

9201 E Mountain View Rd, Suite 220
Scottsdale, AZ 85258

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…

7 other providers at this address

NPI record

NPI: 1659679900
Entity type: Organization (Type 2)
Issued: Mar 10, 2011
Last updated: Dec 10, 2019
Status: Active
Subpart: Yes of Community Care Health Network Inc

Other names

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Matrix Medical Network · doing business as
Matrix Medical Network · doing business as

Authorized official

Victoria Alvarez
Director, Credentialing
(480) 862-1695

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 1659679900

Regional Physician Services Connecticut PC's National Provider Identifier is 1659679900, issued on Mar 10, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Berlin, CT. The record was last updated on Dec 10, 2019.