NPI 1013337179

Proficient Nurse Practitioners Pnp

Organisation Early Intervention Provider Agency Hartford, CT

Practice location

Address: 24 Park Pl, Hartford, CT 06106-5008
Phone: (860) 558-3720
Mailing address: 24 Park Pl, Hartford, CT 06106

Authorised official

Name: Bereshith Adams
Title: Manager
Phone: (860) 558-3720

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Connecticut →

Registry record

NPI: 1013337179
Entity type: Organization
NPI issued: 16 Apr 2014
Record last updated: 3 Apr 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.