Janelle Burr

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rocky Hill, CT

NPI 1851653604 · NPPES record last updated Jun 7, 2012

Key facts

NPI
1851653604
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
XXXXXXXXXXX (CT)
Practice address
38 Woodhaven Rd
Rocky Hill, CT 06067-1045
Phone
(860) 770-3366
NPI assigned
Jun 7, 2012
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
XXXXXXXXXXXCTMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X XXXXXXXXXXX CT Yes

Addresses

Primary practice location

38 Woodhaven Rd
Rocky Hill, CT 06067-1045

Mailing address

38 Woodhaven Rd
Rocky Hill, CT 06067-1045

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.