# NEIL BIDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225644966
- **Gender:** Man
- **Credential:** AGACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R50514 | CT | — |
| 363LA2100X | Acute Care Nurse Practitioner | 9314 | CT | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 9314 | CT | — |
| 363LG0600X | Gerontology Nurse Practitioner | 9314 | CT | — |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 04/01/2021