Practitioner Support Services LLP

Nurse Practitioner · Monroe, CT

Organization Active NPI

NPI number 1114115706

Practice location

324 Elm St Ste 202b
Monroe, CT 06468-2284
Phone
(203) 518-2124

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NPI record

NPI
1114115706
Entity type
Organization (Type 2)
Enumeration date
October 9, 2007
Last updated
June 1, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X — —
Acute Care Nurse Practitioner 363LA2100X — —
Adult Health Nurse Practitioner 363LA2200X — —
Family Nurse Practitioner 363LF0000X — —
Gerontology Nurse Practitioner 363LG0600X — —
Primary Care Nurse Practitioner 363LP2300X — —

Mailing address

PO Box 4058
Monroe, CT 06468-9998
Phone
(203) 518-2124
Fax
(888) 496-0267

Authorized official

Name
Mr. David V Penry, NP-C
Title
President
Phone
(203) 518-2124

About Practitioner Support Services LLP

Practitioner Support Services LLP is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 324 Elm St Ste 202b, Monroe, CT 06468-2284. The NPI number 1114115706 was assigned on October 9, 2007 and the record was last updated on June 1, 2016.

The authorized official for this organization is Mr. David V Penry, NP-C, President.

Frequently asked questions

What is the NPI number of Practitioner Support Services LLP?

The NPI number is 1114115706.

What is the phone number of Practitioner Support Services LLP?

The phone number listed for the practice location is (203) 518-2124.

Where is Practitioner Support Services LLP located?

324 Elm St Ste 202b, Monroe, CT 06468-2284.

What is the taxonomy code for Practitioner Support Services LLP?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 5 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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