Organization
PREMIER MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ASOMANING NP (NURSE PRACTITIONER)
(860) 869-6536
Entity
Organization
Contact information
Practice address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 869-6536
Mailing address
65 OAK ST, SOUTH WINDSOR, CT 06074-3113
(860) 869-6536
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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