NICOLE GRULLON
NPI 1093561268
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since April 27, 2024
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2024, Apr 27, 2024 (2 updates tracked since 2024).

About Nicole Grullon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE GRULLON (NPI 1093561268) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14068) and active in the NPI registry since April 2024.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1093561268
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE GRULLON
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address14729 Heronglen DrLithia, FL 33547-3868
Sole ProprietorNo
Enumeration DateApril 27, 2024
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1093561268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 14068
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE, Farmington, CT 06030

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Pathology (Anatomic Pathology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dietitian, Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Neurology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Hematology & Oncology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dermatology
263 FARMINGTON AVE
FARMINGTON, CT 06030
Radiology (Diagnostic Radiology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Family Medicine (Geriatric Medicine)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Surgery (Vascular Surgery)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Hematology & Oncology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Orthopaedic Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dentist
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dentist
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093561268, enumerated as an "individual" on April 27, 2024.

The provider is located at 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.