Healthcare Provider Details

I. General information

NPI: 1760302228
Provider Name (Legal Business Name): CLARA BOWRON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 BOSTON POST RD STE C6
GUILFORD CT
06437-2744
US

IV. Provider business mailing address

120 CROOKED HILL RD
GUILFORD CT
06437-3659
US

V. Phone/Fax

Practice location:
  • Phone: 203-745-6267
  • Fax:
Mailing address:
  • Phone: 203-745-6267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CLARA BOWRON
Title or Position: OWNER, RENDERING PROVIDER
Credential: MSN, APRN
Phone: 203-745-6267