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

Miss. Itoro Joseph Etim

Individual provider Nurse Practitioner · NPI 1184334633

Miss. Itoro Joseph Etim is a Nurse Practitioner in Meriden, Connecticut. Qualified in 2022, 4 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022

Practice location Address checks out

816 Broad St
Meriden, CT 06450-4350
Phone: (203) 238-1125
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11263 (CT)

Record details

NPI number1184334633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Meriden