Nurse Practitioner, Gerontology
LU BAI CNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972356780 · enumerated 2024-04-10 · record updated 2026-07-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 100 DOUBLE BEACH RD, BRANFORD, CT, 06405-4909 (203) 315-7301 Fax (203) 315-7617 Google Maps Apple Maps OpenStreetMap
- Practice location 100 DOUBLE BEACH RD, BRANFORD, CT, 06405-4909 (203) 315-7301 Fax (203) 315-7617 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 12717 CT
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 12717 CT
In this directory
CT New Haven County Branford Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
BRANFORD, CT, 064054909
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.