Individual provider · Type 1 NPI
Tim Bombard
Family Nurse Practitioner · Manchester, CT
NPI number
1669470993
Active
Practice location
843 Main St # 15
Manchester, CT 06040-6020
Fax (860) 648-3003
Mailing address
694 Palisado Ave
Windsor, CT 06095-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 002775 (CT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669470993
Tim Bombard's National Provider Identifier is 1669470993, issued on Jul 11, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manchester, CT. The record was last updated on Oct 18, 2023.