Kathleen M Balantic in Groton - Adult Health

Kathleen M Balantic - NPI 1568525921

Kathleen M Balantic is a Adult Health in Groton, Connecticut. Kathleen M Balantic practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kathleen M Balantic is 1568525921. The last update date is 2016-05-26.

Kathleen M Balantic's current location address is 75 Eastern Point Rd, Groton, Connecticut. You can contact this provider via phone number 8608339390. The mailing address for Kathleen M Balantic is 75 Eastern Point Rd, Groton, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen M Balantic
Address 75 Eastern Point Rd, Groton, Connecticut
Phone Number 8608339390
Fax Number
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1568525921
Provider Enumeration Date 2006-12-18
Last Updated Date 2016-05-26

Provider Mailing Address Detail

Address 75 Eastern Point Rd
City Groton
State Connecticut (CT)
Post Code 63404905
Phone Number 8608339390
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No 6429
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4190302 CT --
050001247CT01 CT ANTHEM BLUE CROSS

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FAQs about Kathleen M Balantic

What is the unique 10-digit identifier code assigned to Kathleen M Balantic by the Centers for Medicare & Medicaid Services?

The Kathleen M Balantic has been issued the NPI (National Provider Identifier) 1568525921 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kathleen M Balantic is physically located?

The Kathleen M Balantic is situated at the following address: 75 Eastern Point Rd, Groton, CT 63404905.

What is Kathleen M Balantic's area of expertise and its corresponding taxonomy classification?

The Kathleen M Balantic's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kathleen M Balantic receive the assignment of its 1568525921 from the Centers for Medicare & Medicaid Services?

The Kathleen M Balantic was issued its 1568525921 by the Centers for Medicare & Medicaid Services on 2006-12-18.

When was the information pertaining to Kathleen M Balantic most recently updated or revised?

The details related to Kathleen M Balantic, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-26.

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