Healthcare Provider Details

I. General information

NPI: 1639046881
Provider Name (Legal Business Name): HOPE AIMA SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE
MIDDLETOWN CT
06457-5151
US

IV. Provider business mailing address

600 HIGHLAND AVE
MIDDLETOWN CT
06457-5151
US

V. Phone/Fax

Practice location:
  • Phone: 860-347-3315
  • Fax:
Mailing address:
  • Phone: 860-347-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number189081
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: