Healthcare Provider Details

I. General information

NPI: 1750458949
Provider Name (Legal Business Name): FRANKLIN TR RECTOR APRN CARNAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 VINE STREET CAPITOL REGION MENTAL HEALTH CENTER
HARTFORD CT
06112
US

IV. Provider business mailing address

500 VINE STREET HUMAN RESOURCES
HARTFORD CT
06112
US

V. Phone/Fax

Practice location:
  • Phone: 860-297-0905
  • Fax: 860-297-0914
Mailing address:
  • Phone: 860-297-0905
  • Fax: 860-297-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0006
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberE43179
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number00006
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: