Ida R Pratt, CHW

NPI #1780024943 in Bridgeport, Connecticut

Provider Information

NPI Number: 1780024943
Entity Type: Individual
Name: Ida R Pratt, CHW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CHW
Enumeration Date: Jul 2, 2013
Last Updated: Jan 27, 2023

Practice Location

Address: 1000 LAFAYETTE BLVD STE 1100
City: Bridgeport
State: Connecticut
ZIP Code: 06604-4710
Phone: (475) 301-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X
Community Health Worker	172V00000X	Primary

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