Provider Demographics
NPI:1972369510
Name:SPROTT, CHRISTTA (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTTA
Middle Name:
Last Name:SPROTT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTTA
Other - Middle Name:
Other - Last Name:HAMIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:678 CHASE PKWY
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-3050
Mailing Address - Country:US
Mailing Address - Phone:203-706-6286
Mailing Address - Fax:
Practice Address - Street 1:678 CHASE PKWY
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3050
Practice Address - Country:US
Practice Address - Phone:203-706-6286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.012901363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health