Advance Practice Resource Network LLC
Organization Active NPI Family Nurse Practitioner · Waterbury, CT
NPI 1497101265 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1497101265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 005149 (CT)
- Legal business name
- ADVANCE PRACTICE RESOURCE NETWORK LLC
- Practice address
- 969 W Main St
Suite 1 D
Waterbury, CT 06708-2653 - Phone
- (203) 596-0857
- Fax
- (203) 900-0672
- NPI assigned
- May 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Lori Pelosi, APRN
- Title
- Owner
- Phone
- (203) 596-0857
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 005149 | CT | Yes |
Addresses
Primary practice location
969 W Main St
Suite 1 D
Waterbury, CT 06708-2653
Mailing address
969 W Main St
Suite 1 D
Waterbury, CT 06708-2653
Phone (203) 596-0857
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All providers in Waterbury, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.