Organization
ADVANCED PRACTICE CARE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HAUT (PROVIDER)
(860) 618-5455
Entity
Organization
Contact information
Practice address
227 MAIN ST, TORRINGTON, CT 06790-5202
(860) 618-5455
Mailing address
227 MAIN ST, TORRINGTON, CT 06790-5202
(860) 618-5455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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