Healthcare Provider Details

I. General information

NPI: 1427208255
Provider Name (Legal Business Name): HEATHER ANNE REMY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 WASHINGTON ST
NORWICH CT
06360-2740
US

IV. Provider business mailing address

60 HARTLAND ST FL 3
EAST HARTFORD CT
06108-3250
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-8331
  • Fax: 860-425-3875
Mailing address:
  • Phone: 860-837-5602
  • Fax: 860-837-5613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN01081
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number4461
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37470
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: