Organization Name: | ANNA GUT LLC |
NPI Number: | 1174949572 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA GUT (OWNER) |
Mailing Address: | 546 Cromwell Ave # 101 Rocky Hill |
State: | CT US |
Postal Code: | 060671800 |
Phone Number: | 8607573874 |
Fax Number: | 8607573875 |
NPI Enumeration Date: | 03/10/2014 |
NPI Last Update Date: | 03/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 001319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |