Organization
CT FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JT MOHLER-AVERY MSN, APRN, FNP-BC (CEO/MANAGING MEMBER)
(860) 985-7080
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE, SUITE 306, VERNON, CT 06066-4784
(860) 454-8621
(860) 926-4725
Mailing address
281 HARTFORD TPKE, VERNON, CT 06066-4784
(860) 454-8621
(860) 926-4725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004732
CT
Other
Enumeration date
01/23/2012
Last updated
03/09/2012
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