| NP Primary Care Practice, PLLC | |
|
2091 Fairfield Avenue Suite #1 Bridgeport CT 06605-2246 | |
| (203) 572-7491 | |
| Not Available |
| Full Name | NP Primary Care Practice, PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2091 Fairfield Avenue, Bridgeport, Connecticut |
| Authorized Official Name and Position | Nicole J. Phillips (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2035727491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| NP Primary Care Practice, PLLC 2091 Fairfield Avenue Suite #1 Bridgeport CT 06605-2246 Ph: (203) 572-7491 | NP Primary Care Practice, PLLC 2091 Fairfield Avenue Suite #1 Bridgeport CT 06605-2246 Ph: (203) 572-7491 |
| NPI Number | 1205409463 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205409463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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