NPI 1003280157

A Prospering Vision Holistic Medical Services, LLC

Organisation Nurse Practitioner Waterbury, CT

Practice location

Address: 60 N Main St 3rd Flr, Waterbury, CT 06702-1443
Phone: (203) 558-9865

Authorised official

Name: Elijah Caldwell
Title: Executive Director
Phone: (203) 558-9865

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Connecticut →

Registry record

NPI: 1003280157
Entity type: Organization
NPI issued: 30 Nov 2015
Record last updated: 30 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.