Healthcare Provider Details

I. General information

NPI: 1396398061
Provider Name (Legal Business Name): APRN4U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MAIN ST STE 401D
FARMINGTON CT
06032-2985
US

IV. Provider business mailing address

304 MAIN ST STE 401D
FARMINGTON CT
06032-2985
US

V. Phone/Fax

Practice location:
  • Phone: 860-582-2209
  • Fax:
Mailing address:
  • Phone: 860-582-2209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ALISON LORI CARLSON
Title or Position: OWNER
Credential: APRN
Phone: 860-582-2209