Healthcare Provider Details

I. General information

NPI: 1629985015
Provider Name (Legal Business Name): HUMA MUZHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 SHENIPSIT LAKE RD
TOLLAND CT
06084-2332
US

IV. Provider business mailing address

885 HARTFORD TPKE
VERNON CT
06066-5118
US

V. Phone/Fax

Practice location:
  • Phone: 860-872-2999
  • Fax:
Mailing address:
  • Phone: 860-268-3137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number210253
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: