MR. HASTINGS FORD LANE


Address: 24 Kenneth Terrace, Bristol, CT 06010-0601
Phone: 8603077171

MR. HASTINGS FORD LANE (NPI# 1568991412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568991412
Entity Type Individual
Full Name MR. HASTINGS FORD LANE
Credential APRN, FNP
Practice Address 24 Kenneth Terrace
Bristol
CT 06010-0601
Mailing Address 24 Kenneth Ter
Bristol
CT 06010-8541
Practice Telephone 8603077171
Practice Fax Number 8603077171
Mailing Telephone 8603077171
Enumeration Date 2017-06-05
Last Update Date 2017-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F06170124 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 24 KENNETH TERRACE
City BRISTOL
State CT
Zip Code 06010-0601

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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