IndividualActive
Alex Roytburg
NPI 1417680984 · Nurse Practitioner · West Hartford, CT
Provider details
- NPI number
- 1417680984
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10.120090 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
76 Pocahontas Dr
West Hartford, CT 06117-1441
Phone: (860) 798-3705
Approximate (ZIP-level) locationGet directions
Mailing address
76 Pocahontas Dr
West Hartford, CT 06117-1441
Registry dates
- Enumerated
- 2022-07-02
- Last updated
- 2023-02-13
- Certified
- 2023-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.