MEDICARE: CYNTHIA BALATBAT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	10.116054	CT

General Provider Information

NPI Number	:	1730842915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA BALATBAT APRN

Provider Business Mailing Address
First Line	:	141 DANIELLE DR
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06704-1645
Country	:	US
Telephone Number	:	209-244-5781
Fax Number	:

Provider Business Practice Location Address
First Line	:	276 HIGHLAND AVE STE 2A
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3022
Country	:	US
Telephone Number	:	203-819-7220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2021
Last Update Date	:	06/02/2026

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