NPI 1194100065 BRETT ROBERTSON WILLIMANTIC CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Brett Robertson - NPI: 1194100065

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRETT ROBERTSON
NPI Number: 1194100065
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 6156
Business Practice Address: 40 Mansfield Ave
Willimantic, CT - 062262018
Business Phone Number: 8604507471
Business Fax Number: 8604500213
Mailing Address: 40 Mansfield Ave,
WILLIMANTIC
State: CT
Postal Code: 062262018
Phone Number: 8604507471
Fax Number: 8604500213
NPI Enumeration Date: 07/21/2015
NPI Last Update Date: 07/21/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 6156
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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