Advanced Health & Wellness Practice, PLLC
Nurse Practitioner, Family in West Hartford, CT. Organization (NPI-2).
NPI number1124940986
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1124940986
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health & Wellness Practice, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2026
- Certification date
- Jul 26, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
557 Prospect Ave Fl 1-1004West Hartford, CT 06105-2965
Phone 413-238-1446 · Fax 413-216-2939
Mailing address
Po Box 1425Southwick, MA 01077-1425
Phone 413-238-1446 · Fax 413-216-2939
Authorized official
Lisa Killips
Family Nurse Practitioner
4132381446
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