IndividualActive
Domenic Roy, APRN
NPI 1790405553 · Critical Care Medicine Nurse Practitioner · Farmington, CT
Provider details
- NPI number
- 1790405553
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 10914 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
263 Farmington Ave
Farmington, CT 06030-0002
Phone: (860) 679-4450
Approximate (ZIP-level) locationGet directions
Mailing address
145 Morton Rd
Waterbury, CT 06705-3054
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-08-31
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.