Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA R PRATT, CHW
Active Sole ProprietorCommunity Health Worker · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1780024943
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2013 (12.831340713722 yrs)
- Last Updated
- Jan 27, 2023
- Licenses
-
NA198508 (CT)19793616 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 LAFAYETTE BLVD STE 1100BRIDGEPORT, CT, 066044710Browse CT providers · Browse ZIP 06604
- Phone
- 4753018414
- Fax
- 2037454595
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MS. KIM MIMS | — | 1215162425 |
| MR. JEROME C HAILEY | — | 1043626997 |
| DESERIE ALINE CLACK-WILSON | — | 1447869029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.