Provider Demographics
NPI:1609849728
Name:SOCHA, CHRISTY (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:SOCHA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:LILLIBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:111 SALEM TPKE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-6459
Mailing Address - Country:US
Mailing Address - Phone:860-859-2262
Mailing Address - Fax:
Practice Address - Street 1:111 SALEM TPKE
Practice Address - Street 2:SUITE 7
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-6459
Practice Address - Country:US
Practice Address - Phone:860-859-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002932163W00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP00306351OtherRAILROAD
CO400002932CT01OtherANTHEM BCBS
CO400002932CT01OtherANTHEM BCBS
CTP00306351OtherRAILROAD