IndividualActive
David Clark-Coller, APRN
NPI 1417078460 · Acute Care Nurse Practitioner · Hartford, CT
Provider details
- NPI number
- 1417078460
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 000396 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 545-4187
Fax: (860) 545-2006
Approximate (ZIP-level) locationGet directions
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.