Victoria Bothroyd

Individual provider Active NPI Nurse Practitioner · Torrington, CT

NPI 1255475109 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255475109
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
E35885 (CT)
Practice address
540 Litchfield St
Torrington, CT 06790-6679
Phone
(860) 496-6666
Fax
(860) 496-6753
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E35885CTMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X E35885 CT Yes

Addresses

Primary practice location

540 Litchfield St
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

Other providers in Torrington, CT

All providers in Torrington, CT · Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.