# COLLABORATION HEALTHCARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689348534
- **Authorized official:** IRENE A BIHL DNP, APRN (FOUNDER)
- **Authorized official phone:** (203) 947-2147

## Contact information

- **Practice address:** 725 PARK AVE, BRIDGEPORT, CT 06604-4619
- **Practice address phone:** (203) 947-2147
- **Mailing address:** 807 SMITH RIDGE RD, NEW CANAAN, CT 06840-3230
- **Mailing address phone:** (203) 947-2147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 08/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1 | — | CT |