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COLLABORATIVE CANCER CARE
NPI 1396516381
Nurse Practitioner - Adult Health in Manchester, CT

Active since January 10, 2024
112 SPENCER ST STE 2, MANCHESTER, CT 06040(860) 245-8853 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Collaborative Cancer Care NPPES

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

COLLABORATIVE CANCER CARE (NPI 1396516381) is a healthcare organization registered as an adult health in Manchester, Connecticut and active in the NPI registry since January 2024. The organization lists Wendy Garvin, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396516381
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameCOLLABORATIVE CANCER CARE
Location Address112 SPENCER ST STE 2Manchester, CT 06040-4601
Mailing Address8 Birchwood RdEast Hartford, CT 06118-1702 · (617) 650-3391
Phone(860) 245-8853
Organization SubpartNo
Authorized OfficialWendy GarvinNurse Practitioner · (617) 650-3391
Enumeration DateJanuary 10, 2024
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1396516381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
112 SPENCER ST STE 2, Manchester, CT 06040
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Other Names 1

Other NameCollaborative Cancer Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

I WITNESS COUNSELING LLC
Community/Behavioral Health
112 SPENCER ST STE 2
MANCHESTER, CT 06040
Capitol Planning Region (203) 441-3132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Cancer Care's NPI number?

The NPI number for Collaborative Cancer Care is 1396516381. It was assigned to this organization in the NPPES registry on January 10, 2024.

Where is Collaborative Cancer Care located?

Collaborative Cancer Care is located at 112 Spencer St Ste 2, Manchester, CT 06040. The listed phone number is (860) 245-8853.

What is Collaborative Cancer Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Collaborative Cancer Care was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.