Bermudez, Ana Kristia G
Bermudez, Ana Kristia G is an sole proprietor health care provider with primary practice located at 131 New London Tpke Ste 101 , Glastonbury CT 06033-2246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bermudez, Ana Kristia G can be contacted via phone (860) 659-8904.Contact Information
Primary practice address
131 New London Tpke Ste 101
Glastonbury CT 06033-2246
Phone: (860) 659-8904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 335361 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 003860 | Connecticut |
Profile Details
| NPI number | 1881873750 |
|---|---|
| LBN Legal business name | Bermudez, Ana Kristia G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Jul 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881873750 | NPPES |
| Connecticut | MEDICAID | 004000410 |
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