Organization · Type 2 NPI

Renewed Health and Wellness Medical & Aesthetics PLLC

Family Nurse Practitioner · Prospect, CT

NPI number 1881593523 Active

Practice location

49 Waterbury Rd Ste B
Prospect, CT 06712-1218

Fax (949) 222-2016

Mailing address

47 Waterbury Rd Ste 308
Prospect, CT 06712-1256

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1881593523

Renewed Health and Wellness Medical & Aesthetics PLLC's National Provider Identifier is 1881593523, issued on Oct 31, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prospect, CT. The record was last updated on Oct 31, 2026.