Individual
PRIM KASABIITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1115 WEST ST, SOUTHINGTON, CT 06489-6025
(860) 276-6099
(860) 276-6062
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 276-6099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8037
CT
Other
Enumeration date
01/05/2019
Last updated
02/28/2024
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