Provider Demographics
NPI:1063082923
Name:HE, DI YI (APRN)
Entity type:Individual
Prefix:
First Name:DI YI
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 TOWER AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112-1264
Mailing Address - Country:US
Mailing Address - Phone:860-714-2913
Mailing Address - Fax:860-714-8988
Practice Address - Street 1:675 TOWER AVE STE 401
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-1264
Practice Address - Country:US
Practice Address - Phone:860-714-2913
Practice Address - Fax:860-714-8988
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.009914363LF0000X
CTPENDING363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty