Healthcare Provider Details

I. General information

NPI: 1447199120
Provider Name (Legal Business Name): PRIME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 N MAIN ST
NAUGATUCK CT
06770-3032
US

IV. Provider business mailing address

41 CRESCENT ST
WATERBURY CT
06710-1609
US

V. Phone/Fax

Practice location:
  • Phone: 860-792-4704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SYTNER
Title or Position: AUTHORIZED OFFICIAL
Credential: APRN-NP
Phone: 347-452-8759