Healthcare Provider Details

I. General information

NPI: 1194305003
Provider Name (Legal Business Name): NICOLE A TURICK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREET HARTFORD HOSPITAL NEUROLOGY DEPT
HARTFORD CT
06106-5527
US

IV. Provider business mailing address

80 SEYMOUR ST
HARTFORD CT
06106-3300
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-3621
  • Fax:
Mailing address:
  • Phone: 860-545-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number009841
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9841
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: