PETA-GAYE CLARKE-MESSAM SRNA RN NPI 1104499094

NPI Information

NPI: 1104499094
Provider Name: PETA-GAYE CLARKE-MESSAM, SRNA, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1073 N BENSON RD
FAIRFIELD, CT
ZIP 06824
Phone: (347) 571-3579
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Peta-gaye Clarke-messam, SRNA, RN is a critical care medicine registered nurse in Fairfield, CT. Peta-gaye Clarke-messam, SRNA, RN NPI is 1104499094. 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:

1073 N BENSON RD
FAIRFIELD, CT
ZIP 06824-171
Phone: (347) 571-3579

The enumeration date for this NPI number is 7/20/2021 and was last updated on 7/20/2021.

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	163WC0200X	Registered Nurse	Critical Care Medicine	178848	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: 11/14/2023

NPI Synchronization or Removal

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