Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Medicine LLC

Organization Family Nurse Practitioner · NPI 1063137511

Collaborative Medicine LLC is a Family Nurse Practitioner in Canton, Connecticut. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

166 Albany Tpke Ste 7
Canton, CT 06019-2546
Phone: (860) 935-6680
Fax: (860) 359-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 78 Pine Hill Rd, Burlington, CT 06013-2303 — (203) 910-1577

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1063137511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Cannon — Owner · (860) 935-6680
NPI enumeratedOctober 6, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address78 Pine Hill Rd, Burlington, CT 06013-2303

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