Basic Information
Provider Information
NPI: 1427208255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REMY
FirstName: HEATHER
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 60 HARTLAND ST FL 3
Address2:  
City: EAST HARTFORD
State: CT
PostalCode: 061083250
CountryCode: US
TelephoneNumber: 8608375602
FaxNumber: 8608375613
Practice Location
Address1: 326 WASHINGTON ST
Address2:  
City: NORWICH
State: CT
PostalCode: 063602740
CountryCode: US
TelephoneNumber: 8608898331
FaxNumber: 8604253875
Other Information
ProviderEnumerationDate: 09/29/2008
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0000XAPRN01081RIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
363LN0000X4461CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
363LF0000XNPP37470RIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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