Provider Demographics
NPI:1750546925
Name:NURGE, NANCY MARIE (NP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:MARIE
Last Name:NURGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CAPITAL BLVD STE 3-134
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3576
Mailing Address - Country:US
Mailing Address - Phone:860-424-6629
Mailing Address - Fax:888-831-5085
Practice Address - Street 1:400 CAPITAL BLVD STE 3-134
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3576
Practice Address - Country:US
Practice Address - Phone:860-424-6629
Practice Address - Fax:888-831-5085
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-27
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003872363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health