A Prospering Vision Holistic Medical Services, LLC
NPI #1003280157 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1003280157
- Entity Type
- Organization
- Organization Name
- A Prospering Vision Holistic Medical Services, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- A PROSPERING VISION, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Nov 30, 2015
- Last Updated
- Nov 30, 2015
Practice Location
- Address
- 60 N MAIN ST
- Address 2
- 3RD FLR
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06702-1443
- Phone
- (203) 558-9865
Authorized Official
- Name
- MR. ELIJAH CALDWELL, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (203) 558-9865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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