Provider Demographics
NPI:1467628016
Name:VULTE, JEAN D (APRN)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:D
Last Name:VULTE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:56 FRANKLIN ST.
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1253
Mailing Address - Country:US
Mailing Address - Phone:203-709-8882
Mailing Address - Fax:203-709-7247
Practice Address - Street 1:33 BULLET HILL RD.
Practice Address - Street 2:BULLET HILL PARK, SUITE 214
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-4699
Practice Address - Country:US
Practice Address - Phone:203-267-1563
Practice Address - Fax:203-267-1583
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001133363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology