Prime Healthcare, Pc in Wethersfield - Nurse Practitioner
Prime Healthcare, Pc - NPI 1184819302
Prime Healthcare, Pc is a Nurse Practitioner in Wethersfield, Connecticut. Prime Healthcare, Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Prime Healthcare, Pc is 1184819302. The last update date is 2015-08-03.
Prime Healthcare, Pc's current location address is 30 Jordan Ln, Wethersfield, Connecticut. You can contact this provider via phone number 8602630253 and fax number 8602630262. The mailing address for Prime Healthcare, Pc is 30 Jordan Ln, Wethersfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prime Healthcare, Pc |
|---|---|
| Address | 30 Jordan Ln, Wethersfield, Connecticut |
| Phone Number | 8602630253 |
| Fax Number | 8602630262 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Albano Susan |
| Telephone Number | 8602630253 |
NPI Number Detail
| NPI Number | 1184819302 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2015-08-03 |
Provider Mailing Address Detail
| Address | 30 Jordan Ln |
|---|---|
| City | Wethersfield |
| State | Connecticut (CT) |
| Post Code | 61091278 |
| Phone Number | 8602630253 |
| Fax Number | 8602630262 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4201480 | CT | -- | |
| 8058707 | CT | -- | |
| 4185147 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Prime Healthcare, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Prime Healthcare, Pc has been assigned the NPI (National Provider Identifier) 1184819302. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Prime Healthcare, Pc is located?
The Prime Healthcare, Pc is situated at the following address: 30 Jordan Ln, Wethersfield, CT, 61091278.
What is Prime Healthcare, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Prime Healthcare, Pc is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184819302 to Prime Healthcare, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1184819302 to Prime Healthcare, Pc on 2007-09-11.
When was the information related to Prime Healthcare, Pc most recently updated or refreshed?
The details pertaining to the Prime Healthcare, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-03.
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