Organization · Type 2 NPI
Premier Mobile Wound Care LLC
Adult Health Nurse Practitioner · Glastonbury, CT
NPI number
1891664660
Active
Practice location
2389 Main St
Glastonbury, CT 06033-4617
Mailing address
65 Oak St
South Windsor, CT 06074-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1891664660
Premier Mobile Wound Care LLC's National Provider Identifier is 1891664660, issued on Oct 31, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glastonbury, CT. The record was last updated on Oct 31, 2025.