Organization · Type 2 NPI

Ear Nose & Throat Medical and Surgical Group, LLC

Nurse Practitioner · New Haven, CT

NPI number 1679835086 Active

Practice location

46 Prince St Ste 601
New Haven, CT 06519-1634

Fax (203) 752-1838

Mailing address

31 Broadway
North Haven, CT 06473-2304

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X004907 (CT)

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…

4 other providers at this address

About NPI 1679835086

Ear Nose & Throat Medical and Surgical Group, LLC's National Provider Identifier is 1679835086, issued on Jun 12, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Haven, CT. The record was last updated on Jul 16, 2012.