Healthcare Provider Details

I. General information

NPI: 1902738230
Provider Name (Legal Business Name): D'FLAWLESSBODY MEDSPA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 BROAD ST STE E4
WINDSOR CT
06095-2946
US

IV. Provider business mailing address

176 BROAD ST STE E4
WINDSOR CT
06095-2946
US

V. Phone/Fax

Practice location:
  • Phone: 860-503-0174
  • Fax: 608-305-8865
Mailing address:
  • Phone: 860-503-0174
  • Fax: 608-305-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAVI-ANN FRANCIS BROWN
Title or Position: OWNER / APRN PROVIDER
Credential: MSN, APRN, FNP-C
Phone: 860-503-0174