Individual provider · Type 1 NPI

Ted Ubina Pagulayan, FNP-BC, APHN-BC

Family Nurse Practitioner · Groton, CT

NPI number 1689654394 Active

Practice location

1 Wahoo Ave
Groton, CT 06340-2324

Mailing address

330 Crystal Ave, Unit # 5
New London, CT 06320-6500

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse 163WP2201X0001169726 (VA)
Family Nurse Practitioner Primary 363LF0000X30297876 (DC)

Family Nurse Practitioner: Definition to come...

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About NPI 1689654394

Ted Ubina Pagulayan, FNP-BC, APHN-BC's National Provider Identifier is 1689654394, issued on Jan 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Groton, CT. The record was last updated on Oct 17, 2011.