Healthcare Provider Details

I. General information

NPI: 1518640127
Provider Name (Legal Business Name): ANILA GJUZI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 CROMWELL AVE
ROCKY HILL CT
06067-1851
US

IV. Provider business mailing address

506 CROMWELL AVE
ROCKY HILL CT
06067-1851
US

V. Phone/Fax

Practice location:
  • Phone: 860-529-1287
  • Fax:
Mailing address:
  • Phone: 860-529-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11510
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11510
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: