Healthcare Provider Details

I. General information

NPI: 1992598478
Provider Name (Legal Business Name): NRM MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MAIN ST APT E4
NORWALK CT
06851-4669
US

IV. Provider business mailing address

2 BELDEN AVE UNIT 2034
NORWALK CT
06852-7748
US

V. Phone/Fax

Practice location:
  • Phone: 914-809-8926
  • Fax:
Mailing address:
  • Phone: 914-809-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS MILLER
Title or Position: OWNER
Credential: FNP
Phone: 914-809-8926