Healthcare Provider Details

I. General information

NPI: 1568372779
Provider Name (Legal Business Name): FARIDA ASAMAU SAMED RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 BARTLETT PL STE 1
QUAKER HILL CT
06375-1101
US

IV. Provider business mailing address

13 BARTLETT PL STE 1
QUAKER HILL CT
06375-1101
US

V. Phone/Fax

Practice location:
  • Phone: 860-333-2482
  • Fax: 860-326-5069
Mailing address:
  • Phone: 860-333-2482
  • Fax: 860-326-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number89560
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: