Individual provider · NPI-1
Barbara Addi
Nurse Practitioner, Family · Bridgeport, CT
NPI number1730798406
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1730798406
- Entity type
- Individual (NPI-1)
- Name
- Barbara Addi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2020
- Certification date
- Feb 23, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10188 | CT | Yes |
| 163W00000X | Registered Nurse | 85874 | CT |
Practice location
2800 Main StreetCancer Center L3
Bridgeport, CT 06606-4201
Phone 475-210-4700 · Fax 203-382-2488
Mailing address
1290 Silas Deane HwyHartford Healthcare-Cvo
Wethersfield, CT 06109-4337
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