Grow With Me Pediatrics LLC
Nurse Practitioner, Pediatrics in Canterbury, CT. Organization (NPI-2).
NPI number1972309656
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1972309656
- Entity type
- Organization (NPI-2)
- Legal business name
- Grow With Me Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2025
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
188 Westminster Rd Unit 5Canterbury, CT 06331-1434
Phone 860-949-2096
Mailing address
345 Water StCanterbury, CT 06331-1324
Phone 860-556-9119
Authorized official
Brittany Leeman
Manager / Owner
8609492096
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