IndividualActive
Abby Theriaque, APRN
NPI 1457630295 · Pediatric Nurse Practitioner · Hartford, CT
Provider details
- NPI number
- 1457630295
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 004723 (CT)
Mailing address
282 Washington St
Hartford, CT 06106-3322
Registry dates
- Enumerated
- 2011-08-10
- Last updated
- 2023-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.