MS. MARY ALICE POUPON NPP NPI 1073949509

NPI Information

NPI: 1073949509
Provider Name: MS. MARY ALICE POUPON, NPP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
23 SPLIT ROCK RD
NEWTOWN, CT
ZIP 06470
Phone: (203) 364-7000
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MS. Mary Alice Poupon, NPP is a psychiatric/mental health nurse practitioner in Newtown, CT. MS. Mary Alice Poupon, NPP NPI is 1073949509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 SPLIT ROCK RD
NEWTOWN, CT
ZIP 06470-456
Phone: (203) 364-7000

The NPI 1073949509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 9/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	7903263	NEW YORK	No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	002708	CONNECTICUT	No
3	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	7903263	NEW YORK	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	002708	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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