OrganizationActive
A Prospering Vision Holistic Medical Services, LLC
NPI 1003280157 · Nurse Practitioner · Waterbury, CT
Provider details
- NPI number
- 1003280157
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- A Prospering Vision, LLC
- Authorized official
- Elijah Caldwell, Executive Director
Mailing address
60 N Main St
Waterbury, CT 06702-1443
Registry dates
- Enumerated
- 2015-11-30
- Last updated
- 2015-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.