Individual provider · Type 1 NPI
Domenic Roy, APRN
Critical Care Medicine Nurse Practitioner · Farmington, CT
NPI number
1790405553
Active
Practice location
263 Farmington Ave
Farmington, CT 06030-0002
Mailing address
145 Morton Rd
Waterbury, CT 06705-3054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 10914 (CT) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1790405553
Domenic Roy, APRN's National Provider Identifier is 1790405553, issued on Aug 31, 2022. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Farmington, CT. The record was last updated on Aug 31, 2022.