Healthcare Provider Details

I. General information

NPI: 1306773478
Provider Name (Legal Business Name): HOPE FEMIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 LIBERTY DR STE A
HEBRON CT
06248-1553
US

IV. Provider business mailing address

2 MULLEN RD
ENFIELD CT
06082-6033
US

V. Phone/Fax

Practice location:
  • Phone: 860-228-1119
  • Fax:
Mailing address:
  • Phone: 860-876-7775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: