Organization · Type 2 NPI
Progressive Care Medical Group of Ct, PLLC
Nurse Practitioner · Southport, CT
Practice location
917 Mill Hill Ter
Southport, CT 06890-3200
Fax (888) 910-1059
Mailing address
PO Box 1040
Syosset, NY 11791-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| 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…
About NPI 1679107940
Progressive Care Medical Group of Ct, PLLC's National Provider Identifier is 1679107940, issued on Feb 26, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southport, CT. The record was last updated on Sep 25, 2026.