Healthcare Provider Details

I. General information

NPI: 1982428553
Provider Name (Legal Business Name): NEXGEN HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 OLD WINDSOR RD UNIT 3
BLOOMFIELD CT
06002-1419
US

IV. Provider business mailing address

81 OLD WINDSOR RD UNIT 3
BLOOMFIELD CT
06002-1419
US

V. Phone/Fax

Practice location:
  • Phone: 860-966-6727
  • Fax:
Mailing address:
  • Phone: 860-966-0497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAYLA WOOLEY
Title or Position: OWNER
Credential:
Phone: 860-966-0497