Individual
PETER A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
001918
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548257090
—
CT
01
—
191800
CONNECTICARE
CT
Enumeration date
09/30/2005
Last updated
09/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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