Organization
NEW ENGLAND PRIMARY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BOATENG APRN (SOLE MEMBER)
(203) 435-7506
Entity
Organization
Contact information
Practice address
1001 FARMINGTON AVE STE 301, BRISTOL, CT 06010-3990
(860) 973-8120
(860) 973-8167
Mailing address
410 EMMETT ST UNIT 82, BRISTOL, CT 06010-8606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
03/12/2021
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