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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESTINATION GORGEOUS

Active Organization

DESTINATION GORGEOUS is a Nurse Practitioner organization located in WATERBURY, Connecticut. NPI 1013704170 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · WATERBURY, CT

Registration Details

NPI Number
1013704170
Provider Type
Organization
NPI Issued
Apr 22, 2025 (1.1265780619739 yrs)
Last Updated
Apr 22, 2025

Practice Information

Address
678 CHASE PKWY LOWR LEVEL
WATERBURY, CT, 067083050
Browse CT providers · Browse ZIP 06708
Phone
2035270273
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.