IndividualActive
Bartholomew Vazquez, FNP-BC
NPI 1629721402 · Nurse Practitioner · Willimantic, CT
Provider details
- NPI number
- 1629721402
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10341 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (541) 281-2223
Approximate (ZIP-level) locationGet directions
Mailing address
112 Mansfield Ave
Willimantic, CT 06226-2045
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.