Healthcare Provider Details

I. General information

NPI: 1831563022
Provider Name (Legal Business Name): RISHITA PATEL DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2015
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 FARMINGTON AVE
BRISTOL CT
06010-3931
US

IV. Provider business mailing address

539 FARMINGTON AVE
BRISTOL CT
06010-3931
US

V. Phone/Fax

Practice location:
  • Phone: 860-314-6046
  • Fax:
Mailing address:
  • Phone: 860-314-6046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number006348
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: