Healthcare Provider Details

I. General information

NPI: 1841120284
Provider Name (Legal Business Name): NATALIE ELIZABETH SUBBLOIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CRESCENT ST
MIDDLETOWN CT
06457-3650
US

IV. Provider business mailing address

56 MAPLE ST APT 405B
BRANFORD CT
06405-8203
US

V. Phone/Fax

Practice location:
  • Phone: 860-358-6000
  • Fax:
Mailing address:
  • Phone: 203-508-3508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number225641
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: