Salome Tsurtsumia
Nurse Practitioner - Psychiatric/Mental Health
10 Talcott Notch Rd
Farmington
, Connecticut 06032-1800
Salome Tsurtsumia
Nurse Practitioner - Psychiatric/Mental Health
10 Talcott Notch Rd
Farmington
, Connecticut 06032-1800
(860) 679-6736
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Salome Tsurtsumia
- 263 Farmington Avenue
- Farmington, CT
- Zip : 06030-8082
- Fax : (860) 679-6736
- Phone : (860) 679-6700
Second Address
- Salome Tsurtsumia
- 10 Talcott Notch Rd
- Farmington, CT
- Zip : 06032-1800
- Phone : (860) 679-6700
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Is Salome Tsurtsumia a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 007453 | CT |
National Provider Identifier
| NPI | 1013411727 |
|---|---|
| Provider Name | Salome Tsurtsumia |
| First Address | Farmington, CT 06030-8082 |
| Second Address | Farmington, CT 06032-1800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2018 |
| Last Update Date | 19/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.