Healthcare Provider Details

I. General information

NPI: 1225268105
Provider Name (Legal Business Name): PATRICIA A TREHEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2009
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST NICU
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

282 WASHINGTON ST NICU
HARTFORD CT
06106-3322
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-8950
  • Fax: 860-545-8945
Mailing address:
  • Phone: 860-545-8950
  • Fax: 860-545-8945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number000641
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: