NPI 1780024943

Ida R Pratt, CHW

Practitioner Community Health Worker Bridgeport, CT

Practice location

Address: 1000 Lafayette Blvd STE 1100, Bridgeport, CT 06604-4710
Phone: (475) 301-8414
Fax: (203) 745-4595
Mailing address: 40 Putnam Ave Unit 6535, Hamden, CT 06517-7722

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 19793616 (CT)

Other Community Health Worker providers in Connecticut →

Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence NA198508 (CT)

Other Nurse's Aide providers in Connecticut →

Registry record

NPI: 1780024943
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2013
Record last updated: 27 Jan 2023

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.