Abastillas, Anna Liza

Abastillas, Anna Liza is an individual health care provider with primary practice located at 360 14 N Main St , Southington CT 06489. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Abastillas, Anna Liza can be contacted via phone (860) 621-6759.

Contact Information

Primary practice address
360 14 N Main St Southington CT 06489
Phone: (860) 621-6759
Fax: (860) 621-0117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002935 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002935 Connecticut

Profile Details

NPI number 1063572014
LBN Legal business name Abastillas, Anna Liza
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Feb 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063572014 NPPES
Connecticut MEDICAID 004241030

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