Individual
JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
115 WATERBURY RD STE 1, PROSPECT, CT 06712-1254
(203) 758-5660
Mailing address
115 WATERBURY RD STE 1, PROSPECT, CT 06712-1254
(203) 758-5660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.015031
CT
Other
Enumeration date
04/22/2025
Last updated
08/21/2025
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